MAGENT

WEDGE

CHADS2

Compute the CHADS2 stroke-risk score from discrete clinical flags.

WEDGE $0.005 USDC GET /api/calc/chads2

Markdown: /docs/chads2.md · Canonical: https://magentlab.com/docs/chads2

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

What it computes

Compute the CHADS2 stroke-risk score from discrete clinical flags.

When to use

When an agent needs the 2001 Gage CHADS2 total and must not invent points from a chart narrative.

When not to use

  • Not a diagnosis and not an anticoagulation order or treatment recommendation.
  • CHA2DS2-VASc superseded CHADS2 for many guidelines; magent still ships the 2001 score as published.
  • Flags are caller-supplied booleans. magent does not infer CHF or stroke history from text.

Formula

CHADS2 = CHF 1 + hypertension 1 + age≥75 1 + diabetes 1 + stroke/TIA 2; max 6

Citation

Title
Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation
Authors
Gage BF, Waterman AD, Shannon W, Boechler M, Rich MW, Radford MJ
Source
JAMA. 2001;285(22):2864-2870
DOI
10.1001/jama.285.22.2864

Worked example

Age 78, HTN + diabetes

Given: age=78chf=falsediabetes=truehypertension=truestroke_tia=false

  1. Age ≥75 → 1; hypertension → 1; diabetes → 1
  2. Score = 3

Try

Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.

/api/calc/chads2?age=78&chf=false&hypertension=true&diabetes=true&stroke_tia=false

Full URL: https://api.magentlab.com/api/calc/chads2?age=78&chf=false&hypertension=true&diabetes=true&stroke_tia=false

x402 V2 curl

Expect HTTP 402 and a PAYMENT-REQUIRED header 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/chads2?age=78&chf=false&hypertension=true&diabetes=true&stroke_tia=false"

Cursor mcp.json

Intended config for @magent/mcp. This is not npm @x402/fetch (a payment fetch wrapper).

{
  "mcpServers": {
    "magent": {
      "args": [
        "-y",
        "@magent/mcp"
      ],
      "command": "npx",
      "env": {
        "X402_PRIVATE_KEY": "0xYOUR_SPENDING_KEY"
      }
    }
  }
}

Parameters

Name Type Required Description
age integer required Age in years (18-120). ≥75 scores 1.
chf boolean required Congestive heart failure or LV dysfunction. true or false.
hypertension boolean required Hypertension history. true or false.
diabetes boolean required Diabetes mellitus. true or false.
stroke_tia boolean required Prior stroke or TIA. true or false (2 points).

Bulk (POST)

POST the same path with a JSON items array. Price is n times the GET unit. Invalid items return HTTP 400 before settlement.

POST /api/calc/chads2 Max 25 unit_amount * n PREVIEW

  • 1 to 25 items. Each item uses the same keys as the GET query parameters.
  • 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": "78",
      "chf": "false",
      "diabetes": "true",
      "hypertension": "true",
      "stroke_tia": "false"
    },
    {
      "age": "78",
      "chf": "false",
      "diabetes": "true",
      "hypertension": "true",
      "stroke_tia": "false"
    }
  ]
}

Open bulk paywall →

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/chads2",
  "items": [
    {
      "components": [
        {
          "factor": "congestive_heart_failure",
          "points": 0,
          "present": false
        },
        {
          "factor": "hypertension",
          "points": 1,
          "present": true
        },
        {
          "value": 78,
          "factor": "age_ge_75",
          "points": 1,
          "present": true
        },
        {
          "factor": "diabetes",
          "points": 1,
          "present": true
        },
        {
          "factor": "stroke_tia",
          "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": "Gage BF, Waterman AD, Shannon W, Boechler M, Rich MW, Radford MJ",
        "doi": "10.1001/jama.285.22.2864",
        "id": "gage-2001",
        "source": "JAMA. 2001;285(22):2864-2870",
        "title": "Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation"
      },
      "formula": "chads2",
      "formula_expression": "CHADS2 = CHF 1 + hypertension 1 + age≥75 1 + diabetes 1 + stroke/TIA 2; max 6",
      "age_years": 78,
      "max_score": 6,
      "score": 3
    },
    {
      "components": [
        {
          "factor": "congestive_heart_failure",
          "points": 0,
          "present": false
        },
        {
          "factor": "hypertension",
          "points": 1,
          "present": true
        },
        {
          "value": 78,
          "factor": "age_ge_75",
          "points": 1,
          "present": true
        },
        {
          "factor": "diabetes",
          "points": 1,
          "present": true
        },
        {
          "factor": "stroke_tia",
          "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": "Gage BF, Waterman AD, Shannon W, Boechler M, Rich MW, Radford MJ",
        "doi": "10.1001/jama.285.22.2864",
        "id": "gage-2001",
        "source": "JAMA. 2001;285(22):2864-2870",
        "title": "Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation"
      },
      "formula": "chads2",
      "formula_expression": "CHADS2 = CHF 1 + hypertension 1 + age≥75 1 + diabetes 1 + stroke/TIA 2; max 6",
      "age_years": 78,
      "max_score": 6,
      "score": 3
    }
  ]
}

Response

Field Type Description
formula string chads2
formula_expression string Exact expression used
score integer Total points 0-6
max_score integer Always 6
age_years integer Age used for the ≥75 criterion
components array Per-factor points
citation object JAMA 2001 citation
disclaimer string Not-a-device notice

Example JSON

Machine form of the same example. Frozen fixture. Not a live lookup.

{
  "components": [
    {
      "factor": "congestive_heart_failure",
      "points": 0,
      "present": false
    },
    {
      "factor": "hypertension",
      "points": 1,
      "present": true
    },
    {
      "value": 78,
      "factor": "age_ge_75",
      "points": 1,
      "present": true
    },
    {
      "factor": "diabetes",
      "points": 1,
      "present": true
    },
    {
      "factor": "stroke_tia",
      "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": "Gage BF, Waterman AD, Shannon W, Boechler M, Rich MW, Radford MJ",
    "doi": "10.1001/jama.285.22.2864",
    "id": "gage-2001",
    "source": "JAMA. 2001;285(22):2864-2870",
    "title": "Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation"
  },
  "formula": "chads2",
  "formula_expression": "CHADS2 = CHF 1 + hypertension 1 + age≥75 1 + diabetes 1 + stroke/TIA 2; max 6",
  "age_years": 78,
  "max_score": 6,
  "score": 3
}

Errors

HTTP Code When
400 invalid_age age must be an integer from 18 to 120 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.
402 payment_required Missing or invalid PAYMENT-SIGNATURE; decode the PAYMENT-REQUIRED header
409 payment_in_progress The same authorization nonce is already being settled; retry shortly
429 rate_limited Too many requests from this client
503 settlement_uncertain Settlement is unconfirmed; retry with the same PAYMENT-SIGNATURE
503 facilitator_unavailable Payment facilitator unavailable
503 facilitator_misconfigured Payment facilitator is not configured
503 facilitator_unauthorized Payment facilitator rejected credentials
503 ledger_unavailable Payment ledger unavailable
503 payment_unavailable Payment processing unavailable

Related tools

  • CHA2DS2-VASc — Compute the CHA2DS2-VASc stroke-risk score from discrete clinical flags.

Also searched as

  • CHADS2
  • CHADS₂
  • Gage 2001 score
  • AF stroke score

Payment

Required query parameters must be present and valid. 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. Retry the same URL with PAYMENT-SIGNATURE. Settlement completes before the tool runs. Full handshake and shared payment errors: Payments.

Guarantees

  • Invalid query parameters return HTTP 400 before settlement. You are not charged.
  • Settlement finishes before the tool executes. Uncertain settlement fails closed (HTTP 503).
  • Execution is timeout-bounded and concurrency-capped.
  • Calculator inputs are not persisted. Request logs store path without query.