WEDGE
CHADS2
Compute the CHADS2 stroke-risk score from discrete clinical flags.
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- CHA2DS2-VASc superseded CHADS2 for many guidelines; magent still ships the 2001 score as published.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
Worked example
Age 78, HTN + diabetes
Given:
age=78chf=falsediabetes=truehypertension=truestroke_tia=false
- Age ≥75 → 1; hypertension → 1; diabetes → 1
- 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.
- 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"
}
]
}
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.