Emergency · LIVE

MINDS (DeCarolis 2007)

Sum nine caller-assigned DeCarolis 2007 MINDS items and return the published total (max 46). Does not return severity bands, lorazepam doses, or a RASS-mapped agitation item.

LIVE $0.005 USDC GET /api/calc/mminds

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

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

What it computes

Sum nine caller-assigned DeCarolis 2007 MINDS items and return the published total (max 46). Does not return severity bands, lorazepam doses, or a RASS-mapped agitation item.

When to use

When an agent has already assigned DeCarolis 2007 MINDS bands and needs the published 0-46 total, not a benzodiazepine protocol or a hospital-specific RASS modification.

When not to use

Not a medical device and not a benzodiazepine, lorazepam, or treatment order.
Each finding is caller-assigned. magent does not examine the patient.
magent publishes DeCarolis 2007 item weights (MINDS 0-46), not a hospital-specific RASS modification of agitation.
DeCarolis 2007 did not publish mild, moderate, or severe cutoffs or lorazepam doses for the total score. magent returns score and max_score only.

Formula

MINDS = pulse (lt_90 0, 90_to_110 1, gt_110 2) + diastolic_bp (lt_90 0, 90_to_110 1, gt_110 2) + tremor (absent 0, visible 2, moderate 4, severe 6) + sweat (absent 0, moist_palms 2, beads 4, drenching 6) + hallucinations (absent 0, mild 1, moderate_intermittent 2, severe_continuous 3) + agitation (normal 0, somewhat_greater 3, moderately_fidgety 6, pacing_thrashing 9) + orientation (x3 0, x2 2, x1 4, disoriented 6, intubated 0) + delusions (true 6) + seizures (true 6); DeCarolis 2007 Minnesota Detoxification Scale; max 46; not a RASS modification; no published total-score severity or lorazepam-dose bands

Citation

Title: Symptom-driven lorazepam protocol for treatment of severe alcohol withdrawal delirium in the intensive care unit
Authors: DeCarolis DD, Rice KL, Ho L, Willenbring ML, Stock CJ
Source: Pharmacotherapy. 2007;27(4):510-518
DOI: 10.1592/phco.27.4.510

Worked example

All items at the 0-point band

Given: agitation=normaldelusions=falsediastolic_bp=lt_90hallucinations=absentorientation=x3pulse=lt_90seizures=falsesweat=absenttremor=absent

pulse lt_90 0 + diastolic_bp lt_90 0 + tremor absent 0 + sweat absent 0 + hallucinations absent 0 + agitation normal 0 + orientation x3 0 + delusions false 0 + seizures false 0
Score = 0 (max 46). No severity band.

All items at the published maximum

Given: agitation=pacing_thrashingdelusions=truediastolic_bp=gt_110hallucinations=severe_continuousorientation=disorientedpulse=gt_110seizures=truesweat=drenchingtremor=severe

pulse gt_110 2 + diastolic_bp gt_110 2 + tremor severe 6 + sweat drenching 6 + hallucinations severe_continuous 3 + agitation pacing_thrashing 9 + orientation disoriented 6 + delusions true 6 + seizures true 6
Score = 46 (max 46). No severity band.

Also searched as

MINDS
Minnesota Detoxification Scale
DeCarolis MINDS
mMINDS
MINDS score
alcohol withdrawal MINDS
DeCarolis 2007 detoxification scale

Try

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

/api/calc/mminds?pulse=lt_90&diastolic_bp=lt_90&tremor=absent&sweat=absent&hallucinations=absent&agitation=normal&orientation=x3&delusions=false&seizures=false

Full URL: https://api.magentlab.com/api/calc/mminds?pulse=lt_90&diastolic_bp=lt_90&tremor=absent&sweat=absent&hallucinations=absent&agitation=normal&orientation=x3&delusions=false&seizures=false

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/mminds?pulse=lt_90&diastolic_bp=lt_90&tremor=absent&sweat=absent&hallucinations=absent&agitation=normal&orientation=x3&delusions=false&seizures=false"

Parameters

Name	Type	Required	Description
`pulse`	string	required · lt_90, 90_to_110, gt_110	Caller-assigned DeCarolis 2007 pulse band: lt_90 (0; pulse <90), 90_to_110 (1), or gt_110 (2; pulse >110). magent does not measure pulse.
`diastolic_bp`	string	required · lt_90, 90_to_110, gt_110	Caller-assigned DeCarolis 2007 diastolic blood-pressure band: lt_90 (0; DBP <90), 90_to_110 (1), or gt_110 (2; DBP >110). magent does not measure blood pressure.
`tremor`	string	required · absent, visible, moderate, severe	Caller-assigned DeCarolis 2007 tremor: absent (0), visible (2), moderate (4), or severe (6). magent does not examine the patient.
`sweat`	string	required · absent, moist_palms, beads, drenching	Caller-assigned DeCarolis 2007 sweat: absent (0), moist_palms (2), beads (4), or drenching (6). magent does not examine the patient.
`hallucinations`	string	required · absent, mild, moderate_intermittent, severe_continuous	Caller-assigned DeCarolis 2007 hallucinations: absent (0), mild (1), moderate_intermittent (2), or severe_continuous (3). magent does not examine the patient.
`agitation`	string	required · normal, somewhat_greater, moderately_fidgety, pacing_thrashing	Caller-assigned DeCarolis 2007 agitation: normal (0), somewhat_greater (3), moderately_fidgety (6), or pacing_thrashing (9). Not a RASS item. magent does not examine the patient.
`orientation`	string	required · x3, x2, x1, disoriented, intubated	Caller-assigned DeCarolis 2007 orientation: x3 (0), x2 (2), x1 (4), disoriented (6), or intubated (0). magent does not examine the patient.
`delusions`	boolean	required	Caller-assigned DeCarolis 2007 delusions. true scores 6. magent does not examine the patient.
`seizures`	boolean	required	Caller-assigned DeCarolis 2007 seizures. true scores 6. magent does not examine the patient.

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.

POST /api/calc/mminds Max 25 unit_amount + extra_item_amount * (n - 1) extra $0.002 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 (fixture)

{
  "items": [
    {
      "agitation": "normal",
      "delusions": "false",
      "diastolic_bp": "lt_90",
      "hallucinations": "absent",
      "orientation": "x3",
      "pulse": "lt_90",
      "seizures": "false",
      "sweat": "absent",
      "tremor": "absent"
    },
    {
      "agitation": "normal",
      "delusions": "false",
      "diastolic_bp": "lt_90",
      "hallucinations": "absent",
      "orientation": "x3",
      "pulse": "lt_90",
      "seizures": "false",
      "sweat": "absent",
      "tremor": "absent"
    }
  ]
}

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/mminds",
  "items": [
    {
      "components": [
        {
          "value": "lt_90",
          "factor": "pulse",
          "points": 0,
          "present": true
        },
        {
          "value": "lt_90",
          "factor": "diastolic_bp",
          "points": 0,
          "present": true
        },
        {
          "value": "absent",
          "factor": "tremor",
          "points": 0,
          "present": true
        },
        {
          "value": "absent",
          "factor": "sweat",
          "points": 0,
          "present": true
        },
        {
          "value": "absent",
          "factor": "hallucinations",
          "points": 0,
          "present": true
        },
        {
          "value": "normal",
          "factor": "agitation",
          "points": 0,
          "present": true
        },
        {
          "value": "x3",
          "factor": "orientation",
          "points": 0,
          "present": true
        },
        {
          "value": false,
          "factor": "delusions",
          "points": 0,
          "present": false
        },
        {
          "value": false,
          "factor": "seizures",
          "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": "DeCarolis DD, Rice KL, Ho L, Willenbring ML, Stock CJ",
        "doi": "10.1592/phco.27.4.510",
        "id": "decarolis-2007-minds",
        "pmid": "17381377",
        "source": "Pharmacotherapy. 2007;27(4):510-518",
        "title": "Symptom-driven lorazepam protocol for treatment of severe alcohol withdrawal delirium in the intensive care unit"
      },
      "formula": "mminds",
      "formula_expression": "MINDS = pulse (lt_90 0, 90_to_110 1, gt_110 2) + diastolic_bp (lt_90 0, 90_to_110 1, gt_110 2) + tremor (absent 0, visible 2, moderate 4, severe 6) + sweat (absent 0, moist_palms 2, beads 4, drenching 6) + hallucinations (absent 0, mild 1, moderate_intermittent 2, severe_continuous 3) + agitation (normal 0, somewhat_greater 3, moderately_fidgety 6, pacing_thrashing 9) + orientation (x3 0, x2 2, x1 4, disoriented 6, intubated 0) + delusions (true 6) + seizures (true 6); DeCarolis 2007 Minnesota Detoxification Scale; max 46; not a RASS modification; no published total-score severity or lorazepam-dose bands",
      "max_score": 46,
      "score": 0
    },
    {
      "components": [
        {
          "value": "lt_90",
          "factor": "pulse",
          "points": 0,
          "present": true
        },
        {
          "value": "lt_90",
          "factor": "diastolic_bp",
          "points": 0,
          "present": true
        },
        {
          "value": "absent",
          "factor": "tremor",
          "points": 0,
          "present": true
        },
        {
          "value": "absent",
          "factor": "sweat",
          "points": 0,
          "present": true
        },
        {
          "value": "absent",
          "factor": "hallucinations",
          "points": 0,
          "present": true
        },
        {
          "value": "normal",
          "factor": "agitation",
          "points": 0,
          "present": true
        },
        {
          "value": "x3",
          "factor": "orientation",
          "points": 0,
          "present": true
        },
        {
          "value": false,
          "factor": "delusions",
          "points": 0,
          "present": false
        },
        {
          "value": false,
          "factor": "seizures",
          "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": "DeCarolis DD, Rice KL, Ho L, Willenbring ML, Stock CJ",
        "doi": "10.1592/phco.27.4.510",
        "id": "decarolis-2007-minds",
        "pmid": "17381377",
        "source": "Pharmacotherapy. 2007;27(4):510-518",
        "title": "Symptom-driven lorazepam protocol for treatment of severe alcohol withdrawal delirium in the intensive care unit"
      },
      "formula": "mminds",
      "formula_expression": "MINDS = pulse (lt_90 0, 90_to_110 1, gt_110 2) + diastolic_bp (lt_90 0, 90_to_110 1, gt_110 2) + tremor (absent 0, visible 2, moderate 4, severe 6) + sweat (absent 0, moist_palms 2, beads 4, drenching 6) + hallucinations (absent 0, mild 1, moderate_intermittent 2, severe_continuous 3) + agitation (normal 0, somewhat_greater 3, moderately_fidgety 6, pacing_thrashing 9) + orientation (x3 0, x2 2, x1 4, disoriented 6, intubated 0) + delusions (true 6) + seizures (true 6); DeCarolis 2007 Minnesota Detoxification Scale; max 46; not a RASS modification; no published total-score severity or lorazepam-dose bands",
      "max_score": 46,
      "score": 0
    }
  ]
}

Response

Field	Type	Description
`formula`	string	mminds
`formula_expression`	string	Exact expression used
`score`	integer	DeCarolis 2007 MINDS points 0-46
`max_score`	integer	Always 46
`components`	array	Per-item caller-assigned DeCarolis 2007 points
`citation`	object	DeCarolis et al. Pharmacotherapy 2007 citation
`disclaimer`	string	Not-a-device notice

Example JSON

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

{
  "components": [
    {
      "value": "lt_90",
      "factor": "pulse",
      "points": 0,
      "present": true
    },
    {
      "value": "lt_90",
      "factor": "diastolic_bp",
      "points": 0,
      "present": true
    },
    {
      "value": "absent",
      "factor": "tremor",
      "points": 0,
      "present": true
    },
    {
      "value": "absent",
      "factor": "sweat",
      "points": 0,
      "present": true
    },
    {
      "value": "absent",
      "factor": "hallucinations",
      "points": 0,
      "present": true
    },
    {
      "value": "normal",
      "factor": "agitation",
      "points": 0,
      "present": true
    },
    {
      "value": "x3",
      "factor": "orientation",
      "points": 0,
      "present": true
    },
    {
      "value": false,
      "factor": "delusions",
      "points": 0,
      "present": false
    },
    {
      "value": false,
      "factor": "seizures",
      "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": "DeCarolis DD, Rice KL, Ho L, Willenbring ML, Stock CJ",
    "doi": "10.1592/phco.27.4.510",
    "id": "decarolis-2007-minds",
    "pmid": "17381377",
    "source": "Pharmacotherapy. 2007;27(4):510-518",
    "title": "Symptom-driven lorazepam protocol for treatment of severe alcohol withdrawal delirium in the intensive care unit"
  },
  "formula": "mminds",
  "formula_expression": "MINDS = pulse (lt_90 0, 90_to_110 1, gt_110 2) + diastolic_bp (lt_90 0, 90_to_110 1, gt_110 2) + tremor (absent 0, visible 2, moderate 4, severe 6) + sweat (absent 0, moist_palms 2, beads 4, drenching 6) + hallucinations (absent 0, mild 1, moderate_intermittent 2, severe_continuous 3) + agitation (normal 0, somewhat_greater 3, moderately_fidgety 6, pacing_thrashing 9) + orientation (x3 0, x2 2, x1 4, disoriented 6, intubated 0) + delusions (true 6) + seizures (true 6); DeCarolis 2007 Minnesota Detoxification Scale; max 46; not a RASS modification; no published total-score severity or lorazepam-dose bands",
  "max_score": 46,
  "score": 0
}

Client errors (HTTP 400)

Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.

HTTP	Code	When
400	`invalid_mminds`	MINDS inputs must match DeCarolis 2007 pulse, diastolic blood pressure, tremor, sweat, hallucinations, agitation, orientation, delusions, and seizures. 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.

Related tools

CIWA-Ar — Sum the ten Sullivan 1989 CIWA-Ar items (nine caller-assigned 0-7 plus orientation 0-4) and return the published total (max 67).
BAWS (Brief Alcohol Withdrawal Scale) — Sum the five Rastegar 2017 Brief Alcohol Withdrawal Scale items (tremor, diaphoresis, agitation, orientation, hallucinations; each caller-assigned integer 0-3) and return the published 0-15 total plus whether BAWS >=3, the cut that predicted CIWA-Ar >=8 in that paper.
PAWSS — Apply the Maldonado 2014 PAWSS Part A threshold and ten yes/no items and return the published 0–10 total with the ≥4 high-risk band.

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.