# Glasgow-Imrie pancreatitis score Glasgow-Imrie Status: LIVE Price: $0.005 USDC `GET /api/calc/glasgow_imrie` HTML: https://magentlab.com/docs/glasgow-imrie Markdown: https://magentlab.com/docs/glasgow-imrie.md Not a medical device. Not a diagnosis, dose, or listing recommendation. ## What it computes Sum the eight Blamey 1984 Glasgow-Imrie factors and return whether severe pancreatitis is predicted (three or more factors). ## When to use When an agent already has the published cutoffs as flags and must not invent a Glasgow-Imrie total, substitute Ranson, or treat the result as a diagnosis. ## When not to use - Not a medical device and not a diagnosis, ICU order, or treatment recommendation. Blamey 1984 predicts severe pancreatitis when three or more of eight factors are present; magent returns severe_predicted as that published threshold, not a named-patient prognosis. - This is the Blamey 1984 eight-factor Glasgow-Imrie system only. Transaminases (AST/ALT) were dropped because they did not predict severity. This is not Ranson 1974 (eleven signs). - magent does not convert units or parse raw labs; each cutoff is a caller-assigned boolean. ## Formula ``` Glasgow-Imrie = age_gt_55 + wbc_gt_15 + glucose_gt_10 + urea_gt_16 + pao2_lt_60 + calcium_lt_2 + albumin_lt_32 + ldh_gt_600; each 1 if present; max 8; severe_predicted if score >= 3 ``` ## Citation [Prognostic factors in acute pancreatitis](https://doi.org/10.1136/gut.25.12.1340) Blamey SL, Imrie CW, O'Neill J, Gilmour WH, Carter DC Gut. 1984;25(12):1340-1346 DOI: [10.1136/gut.25.12.1340](https://doi.org/10.1136/gut.25.12.1340) ## Worked example ### No factors Given: `age_gt_55=false, albumin_lt_32=false, calcium_lt_2=false, glucose_gt_10=false, ldh_gt_600=false, pao2_lt_60=false, urea_gt_16=false, wbc_gt_15=false` 1. score = 0 2. severe_predicted false ### Three factors present Given: `age_gt_55=true, albumin_lt_32=false, calcium_lt_2=false, glucose_gt_10=true, ldh_gt_600=false, pao2_lt_60=false, urea_gt_16=false, wbc_gt_15=true` 1. score = 3 2. severe_predicted true ## Also searched as - Glasgow-Imrie score - Glasgow criteria pancreatitis - Imrie score - Blamey Imrie - Glasgow pancreatitis score - eight-factor Glasgow ## Parameters - `age_gt_55` (boolean, required): Age >55 years (Blamey 1984). true or false. - `wbc_gt_15` (boolean, required): WBC >15 ×10^9/L. true or false. - `glucose_gt_10` (boolean, required): Glucose >10 mmol/L. true or false. - `urea_gt_16` (boolean, required): Urea >16 mmol/L. true or false. - `pao2_lt_60` (boolean, required): Arterial PaO2 <60 mm Hg. true or false. - `calcium_lt_2` (boolean, required): Calcium <2.0 mmol/L. true or false. - `albumin_lt_32` (boolean, required): Albumin <32 g/L. true or false. - `ldh_gt_600` (boolean, required): LDH >600 U/L. true or false. ## 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/glasgow_imrie` 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": [ { "age_gt_55": "false", "albumin_lt_32": "false", "calcium_lt_2": "false", "glucose_gt_10": "false", "ldh_gt_600": "false", "pao2_lt_60": "false", "urea_gt_16": "false", "wbc_gt_15": "false" }, { "age_gt_55": "false", "albumin_lt_32": "false", "calcium_lt_2": "false", "glucose_gt_10": "false", "ldh_gt_600": "false", "pao2_lt_60": "false", "urea_gt_16": "false", "wbc_gt_15": "false" } ] } ``` Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/glasgow-imrie Example 200: ```json { "count": 2, "path": "/api/calc/glasgow_imrie", "items": [ { "components": [ { "factor": "age_gt_55", "points": 0, "present": false }, { "factor": "wbc_gt_15", "points": 0, "present": false }, { "factor": "glucose_gt_10", "points": 0, "present": false }, { "factor": "urea_gt_16", "points": 0, "present": false }, { "factor": "pao2_lt_60", "points": 0, "present": false }, { "factor": "calcium_lt_2", "points": 0, "present": false }, { "factor": "albumin_lt_32", "points": 0, "present": false }, { "factor": "ldh_gt_600", "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": "Blamey SL, Imrie CW, O'Neill J, Gilmour WH, Carter DC", "doi": "10.1136/gut.25.12.1340", "id": "blamey-1984", "pmid": "6510766", "source": "Gut. 1984;25(12):1340-1346", "title": "Prognostic factors in acute pancreatitis" }, "formula": "glasgow_imrie", "formula_expression": "Glasgow-Imrie = age_gt_55 + wbc_gt_15 + glucose_gt_10 + urea_gt_16 + pao2_lt_60 + calcium_lt_2 + albumin_lt_32 + ldh_gt_600; each 1 if present; max 8; severe_predicted if score >= 3", "max_score": 8, "score": 0, "severe_predicted": false }, { "components": [ { "factor": "age_gt_55", "points": 0, "present": false }, { "factor": "wbc_gt_15", "points": 0, "present": false }, { "factor": "glucose_gt_10", "points": 0, "present": false }, { "factor": "urea_gt_16", "points": 0, "present": false }, { "factor": "pao2_lt_60", "points": 0, "present": false }, { "factor": "calcium_lt_2", "points": 0, "present": false }, { "factor": "albumin_lt_32", "points": 0, "present": false }, { "factor": "ldh_gt_600", "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": "Blamey SL, Imrie CW, O'Neill J, Gilmour WH, Carter DC", "doi": "10.1136/gut.25.12.1340", "id": "blamey-1984", "pmid": "6510766", "source": "Gut. 1984;25(12):1340-1346", "title": "Prognostic factors in acute pancreatitis" }, "formula": "glasgow_imrie", "formula_expression": "Glasgow-Imrie = age_gt_55 + wbc_gt_15 + glucose_gt_10 + urea_gt_16 + pao2_lt_60 + calcium_lt_2 + albumin_lt_32 + ldh_gt_600; each 1 if present; max 8; severe_predicted if score >= 3", "max_score": 8, "score": 0, "severe_predicted": false } ] } ``` ## Response fields - `formula` (string): glasgow_imrie - `formula_expression` (string): Exact expression used - `score` (integer): Glasgow-Imrie points 0-8 - `max_score` (integer): 8 - `severe_predicted` (boolean): true when score is ≥3 (Blamey 1984 predicted severe). A published threshold, not a diagnosis. - `components` (array): Per-factor points - `citation` (object): Blamey et al. Gut 1984 citation - `disclaimer` (string): Not-a-device notice ## Example JSON Frozen fixture. Not a live lookup. ```json { "components": [ { "factor": "age_gt_55", "points": 0, "present": false }, { "factor": "wbc_gt_15", "points": 0, "present": false }, { "factor": "glucose_gt_10", "points": 0, "present": false }, { "factor": "urea_gt_16", "points": 0, "present": false }, { "factor": "pao2_lt_60", "points": 0, "present": false }, { "factor": "calcium_lt_2", "points": 0, "present": false }, { "factor": "albumin_lt_32", "points": 0, "present": false }, { "factor": "ldh_gt_600", "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": "Blamey SL, Imrie CW, O'Neill J, Gilmour WH, Carter DC", "doi": "10.1136/gut.25.12.1340", "id": "blamey-1984", "pmid": "6510766", "source": "Gut. 1984;25(12):1340-1346", "title": "Prognostic factors in acute pancreatitis" }, "formula": "glasgow_imrie", "formula_expression": "Glasgow-Imrie = age_gt_55 + wbc_gt_15 + glucose_gt_10 + urea_gt_16 + pao2_lt_60 + calcium_lt_2 + albumin_lt_32 + ldh_gt_600; each 1 if present; max 8; severe_predicted if score >= 3", "max_score": 8, "score": 0, "severe_predicted": false } ``` ## Errors - HTTP 400 `invalid_flag`: boolean clinical flags must be true or false 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 - [Ranson](https://magentlab.com/docs/ranson) — Sum the eleven Ranson 1974 prognostic signs (five at admission, six during the first 48 hours) and return the published mortality band. - [BISAP](https://magentlab.com/docs/bisap) — Compute the Wu 2008 BISAP score for early prediction of mortality in acute pancreatitis from BUN, caller-assigned impaired mental status, caller-assigned SIRS, age, and caller-assigned pleural effusion. ## 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 echoing accepted, payload, and extensions when present). - 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. - 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.