# CHEOPS (McGrath)

CHEOPS

Status: LIVE
Price: $0.005 USDC
`GET /api/calc/cheops`
HTML: https://magentlab.com/docs/cheops
Markdown: https://magentlab.com/docs/cheops.md

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

## What it computes

Sum six caller-assigned McGrath 1985 CHEOPS category integers and return the published total (range 4-13).

## When to use

When an agent has already assigned McGrath 1985 CHEOPS integers for cry, facial, child_verbal, torso, touch, and legs and needs the published total, not a pain diagnosis, analgesic order, FLACC, BOPS, or an invented treatment-threshold cutoff.

## When not to use

- Not a medical device and not a pain diagnosis or analgesic order.
- Each of the six categories is a caller-assigned integer from the McGrath 1985 table. magent does not observe the child.
- Cry is 1, 2, or 3 (0 is not published). Facial and child_verbal are 0, 1, or 2. Torso, touch, and legs are 1 or 2 (0 is not published). Both-complaints maps to child_verbal 2; there is no published verbal 3.
- Published total is 4 (no pain) to 13 (worst pain). magent does not emit later treatment-threshold cutoffs.
- McGrath 1985 described postoperative pain rating in children. magent does not take an age parameter. Not FLACC. Not BOPS.

## Formula

```
CHEOPS = cry + facial + child_verbal + torso + touch + legs; McGrath 1985 published integers; min 4, max 13
```

## Citation

[CHEOPS: a behavioral scale for rating postoperative pain in children](https://doi.org/10.1016/0304-3959(84)90167-2)
McGrath PJ, Johnson G, Goodman JT, Schillinger J, Dunn J, Chapman J
In: Fields HL, ed. Advances in Pain Research and Therapy. Vol 9. New York: Raven Press; 1985:395-402
DOI: [10.1016/0304-3959(84)90167-2](https://doi.org/10.1016/0304-3959(84)90167-2)

## Worked example

### Published no-pain minimum

Given: `child_verbal=0, cry=1, facial=0, legs=1, torso=1, touch=1`

1. cry 1 + facial 0 + child_verbal 0 + torso 1 + touch 1 + legs 1
2. Score = 4 (published minimum; max 13)


### All category maxima

Given: `child_verbal=2, cry=3, facial=2, legs=2, torso=2, touch=2`

1. cry 3 + facial 2 + child_verbal 2 + torso 2 + touch 2 + legs 2
2. Score = 13 (published maximum)


## Also searched as

- CHEOPS
- Children's Hospital of Eastern Ontario Pain Scale
- McGrath CHEOPS
- CHEOPS scale
- postoperative pain children
- McGrath 1985 CHEOPS
- behavioral pain children
- CHEOPS cry facial verbal

## Parameters

- `cry` (integer, required): Caller-assigned McGrath 1985 CHEOPS cry (integer 1-3; 0 is not published): 1 no crying; 2 moaning or crying; 3 scream. magent does not observe the child.
- `facial` (integer, required): Caller-assigned McGrath 1985 CHEOPS facial (integer 0-2): 0 smiling; 1 composed/neutral; 2 grimace. magent does not observe the child.
- `child_verbal` (integer, required): Caller-assigned McGrath 1985 CHEOPS child verbal (integer 0-2): 0 positive statements; 1 none or other non-pain complaints; 2 pain complaints (both-complaints also 2; there is no published 3). magent does not observe the child.
- `torso` (integer, required): Caller-assigned McGrath 1985 CHEOPS torso (integer 1-2; 0 is not published): 1 neutral/resting; 2 shifting, tense, shivering, upright, or restrained. magent does not observe the child.
- `touch` (integer, required): Caller-assigned McGrath 1985 CHEOPS touch (integer 1-2; 0 is not published): 1 not touching wound; 2 reaching, touching, grabbing, or arms restrained. magent does not observe the child.
- `legs` (integer, required): Caller-assigned McGrath 1985 CHEOPS legs (integer 1-2; 0 is not published): 1 neutral; 2 squirm/kicking, drawn up/tense, standing, or restrained. 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.

Method: `POST /api/calc/cheops`
Max items: 25
Price: unit_amount + extra_item_amount * (n - 1) (unit 5000 atomic, extra 2000 atomic)
Status: PREVIEW

- 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:

```json
{
  "items": [
    {
      "child_verbal": "0",
      "cry": "1",
      "facial": "0",
      "legs": "1",
      "torso": "1",
      "touch": "1"
    },
    {
      "child_verbal": "0",
      "cry": "1",
      "facial": "0",
      "legs": "1",
      "torso": "1",
      "touch": "1"
    }
  ]
}
```

Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/cheops

Example 200:

```json
{
  "count": 2,
  "path": "/api/calc/cheops",
  "items": [
    {
      "components": [
        {
          "value": 1,
          "factor": "cry",
          "points": 1,
          "present": true
        },
        {
          "value": 0,
          "factor": "facial",
          "points": 0,
          "present": true
        },
        {
          "value": 0,
          "factor": "child_verbal",
          "points": 0,
          "present": true
        },
        {
          "value": 1,
          "factor": "torso",
          "points": 1,
          "present": true
        },
        {
          "value": 1,
          "factor": "touch",
          "points": 1,
          "present": true
        },
        {
          "value": 1,
          "factor": "legs",
          "points": 1,
          "present": true
        }
      ],
      "touch": 1,
      "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": "McGrath PJ, Johnson G, Goodman JT, Schillinger J, Dunn J, Chapman J",
        "doi": "10.1016/0304-3959(84)90167-2",
        "id": "mcgrath-1985",
        "source": "In: Fields HL, ed. Advances in Pain Research and Therapy. Vol 9. New York: Raven Press; 1985:395-402",
        "title": "CHEOPS: a behavioral scale for rating postoperative pain in children"
      },
      "formula": "cheops",
      "formula_expression": "CHEOPS = cry + facial + child_verbal + torso + touch + legs; McGrath 1985 published integers; min 4, max 13",
      "max_score": 13,
      "score": 4,
      "child_verbal": 0,
      "cry": 1,
      "facial": 0,
      "legs": 1,
      "torso": 1
    },
    {
      "components": [
        {
          "value": 1,
          "factor": "cry",
          "points": 1,
          "present": true
        },
        {
          "value": 0,
          "factor": "facial",
          "points": 0,
          "present": true
        },
        {
          "value": 0,
          "factor": "child_verbal",
          "points": 0,
          "present": true
        },
        {
          "value": 1,
          "factor": "torso",
          "points": 1,
          "present": true
        },
        {
          "value": 1,
          "factor": "touch",
          "points": 1,
          "present": true
        },
        {
          "value": 1,
          "factor": "legs",
          "points": 1,
          "present": true
        }
      ],
      "touch": 1,
      "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": "McGrath PJ, Johnson G, Goodman JT, Schillinger J, Dunn J, Chapman J",
        "doi": "10.1016/0304-3959(84)90167-2",
        "id": "mcgrath-1985",
        "source": "In: Fields HL, ed. Advances in Pain Research and Therapy. Vol 9. New York: Raven Press; 1985:395-402",
        "title": "CHEOPS: a behavioral scale for rating postoperative pain in children"
      },
      "formula": "cheops",
      "formula_expression": "CHEOPS = cry + facial + child_verbal + torso + touch + legs; McGrath 1985 published integers; min 4, max 13",
      "max_score": 13,
      "score": 4,
      "child_verbal": 0,
      "cry": 1,
      "facial": 0,
      "legs": 1,
      "torso": 1
    }
  ]
}
```

## Response fields

- `formula` (string): cheops
- `formula_expression` (string): Exact expression used
- `score` (integer): CHEOPS points 4-13
- `max_score` (integer): Always 13
- `cry` (integer): Caller-assigned cry points 1-3
- `facial` (integer): Caller-assigned facial points 0-2
- `child_verbal` (integer): Caller-assigned child verbal points 0-2
- `torso` (integer): Caller-assigned torso points 1-2
- `touch` (integer): Caller-assigned touch points 1-2
- `legs` (integer): Caller-assigned legs points 1-2
- `components` (array): Per-category caller-assigned points
- `citation` (object): McGrath et al. 1985 CHEOPS chapter citation
- `disclaimer` (string): Not-a-device notice

## Example JSON

Frozen fixture. Not a live lookup.

```json
{
  "components": [
    {
      "value": 1,
      "factor": "cry",
      "points": 1,
      "present": true
    },
    {
      "value": 0,
      "factor": "facial",
      "points": 0,
      "present": true
    },
    {
      "value": 0,
      "factor": "child_verbal",
      "points": 0,
      "present": true
    },
    {
      "value": 1,
      "factor": "torso",
      "points": 1,
      "present": true
    },
    {
      "value": 1,
      "factor": "touch",
      "points": 1,
      "present": true
    },
    {
      "value": 1,
      "factor": "legs",
      "points": 1,
      "present": true
    }
  ],
  "touch": 1,
  "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": "McGrath PJ, Johnson G, Goodman JT, Schillinger J, Dunn J, Chapman J",
    "doi": "10.1016/0304-3959(84)90167-2",
    "id": "mcgrath-1985",
    "source": "In: Fields HL, ed. Advances in Pain Research and Therapy. Vol 9. New York: Raven Press; 1985:395-402",
    "title": "CHEOPS: a behavioral scale for rating postoperative pain in children"
  },
  "formula": "cheops",
  "formula_expression": "CHEOPS = cry + facial + child_verbal + torso + touch + legs; McGrath 1985 published integers; min 4, max 13",
  "max_score": 13,
  "score": 4,
  "child_verbal": 0,
  "cry": 1,
  "facial": 0,
  "legs": 1,
  "torso": 1
}
```

## Errors

- HTTP 400 `invalid_cheops`: CHEOPS needs cry, facial, child_verbal, torso, touch, and legs (McGrath 1985). Returned before settlement; you are not charged.
- HTTP 400 `invalid_cheops_item`: each CHEOPS category must be an integer in that category's published range (McGrath 1985). Returned before settlement; you are not charged.
- HTTP 400 `invalid_items`: POST body must be a JSON object with only an items array Returned before settlement; you are not charged.
- HTTP 400 `invalid_item_count`: items must be an array of 1 to 25 objects Returned before settlement; you are not charged.
- HTTP 400 `invalid_item`: each items entry must be a JSON object Returned before settlement; you are not charged.

Shared HTTP 402 and 503: https://magentlab.com/docs/payments

## Related tools

- [FLACC](https://magentlab.com/docs/flacc) — Sum five caller-assigned Merkel 1997 FLACC integers (0-2) and return the published total (max 10).
- [BOPS](https://magentlab.com/docs/bops) — Sum three caller-assigned Hesselgard 2007 BOPS integers (0-2) and return the published total (max 6).

## 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.

- GET the tool with Accept: application/json (do not send Accept: text/html unless you want the human paywall).
- HTTP 402 means you have not paid. Decode the base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote.
- Sign accepts[0] (exact, EIP-3009) with validBefore = now + maxTimeoutSeconds (600 seconds), or accepts[1] (batch-settlement deposit/voucher) on product GET. Ping and POST {items} stay exact. Magent retries transient facilitator 429/5xx before answering.
- Retry the same URL with PAYMENT-SIGNATURE (base64 JSON of accepted and payload). Magent attaches canonical extensions.bazaar on CDP verify/settle; echoing 402 bazaar is optional.
- Success is HTTP 200 JSON plus PAYMENT-RESPONSE. exact settles before the tool. batch-settlement verifies (and deposit-settles) before the tool and commits the charge after HTTP 2xx. HTTP 503: retry the same PAYMENT-SIGNATURE. Mint a new exact nonce only after a new HTTP 402.

- offered `exact` on eip155:8453: Fixed-price USDC on Base. The buyer authorizes the advertised amount (EIP-3009). magent settles before the tool runs (paymentFlow upfront). extra.assetTransferMethod=eip3009 extra.paymentFlow=upfront.
- offered `batch-settlement` on eip155:8453: Payment-channel vouchers claimed later in batches. Exact stays accepts[0]. Same-path POST {items} is still exact. extra.assetTransferMethod=eip3009 extra.paymentFlow=authorization.

- not offered `upto`: Not offered. Usage-based: buyer authorizes a ceiling, seller settles the actual amount after work. Reserved for a future metered tool. Not for current calculators or code search.

Same-path POST {items} is still scheme exact: one EIP-3009 authorization for GET unit plus $0.002 per extra item. That is not x402 batch-settlement (payment channels / vouchers).

Shared HTTP 402 and 503 table: https://magentlab.com/docs/payments

Stdio MCP (one process per host): https://magentlab.com/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.
