# MINDS (DeCarolis 2007) MINDS (DeCarolis 2007) Status: LIVE Price: $0.005 USDC `GET /api/calc/mminds` HTML: https://magentlab.com/docs/mminds Markdown: https://magentlab.com/docs/mminds.md 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 [Symptom-driven lorazepam protocol for treatment of severe alcohol withdrawal delirium in the intensive care unit](https://doi.org/10.1592/phco.27.4.510) DeCarolis DD, Rice KL, Ho L, Willenbring ML, Stock CJ Pharmacotherapy. 2007;27(4):510-518 DOI: [10.1592/phco.27.4.510](https://doi.org/10.1592/phco.27.4.510) ## Worked example ### All items at the 0-point band Given: `agitation=normal, delusions=false, diastolic_bp=lt_90, hallucinations=absent, orientation=x3, pulse=lt_90, seizures=false, sweat=absent, tremor=absent` 1. 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 2. Score = 0 (max 46). No severity band. ### All items at the published maximum Given: `agitation=pacing_thrashing, delusions=true, diastolic_bp=gt_110, hallucinations=severe_continuous, orientation=disoriented, pulse=gt_110, seizures=true, sweat=drenching, tremor=severe` 1. 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 2. 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 ## Parameters - `pulse` (string, required): 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): 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): Caller-assigned DeCarolis 2007 tremor: absent (0), visible (2), moderate (4), or severe (6). magent does not examine the patient. - `sweat` (string, required): Caller-assigned DeCarolis 2007 sweat: absent (0), moist_palms (2), beads (4), or drenching (6). magent does not examine the patient. - `hallucinations` (string, required): 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): 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): 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. Method: `POST /api/calc/mminds` 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": [ { "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" } ] } ``` Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/mminds Example 200: ```json { "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 fields - `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 Frozen fixture. Not a live lookup. ```json { "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 } ``` ## Errors - HTTP 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. - 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 - [CIWA-Ar](https://magentlab.com/docs/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)](https://magentlab.com/docs/baws) — 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](https://magentlab.com/docs/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. - 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.