LIVE
Oxygenation index
Compute the oxygenation index from inspired oxygen fraction, mean airway pressure in cm H2O, and arterial PO2.
Markdown: /docs/oxygenation-index.md · Canonical: https://magentlab.com/docs/oxygenation-index
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Compute the oxygenation index from inspired oxygen fraction, mean airway pressure in cm H2O, and arterial PO2.
When to use
When an agent needs FiO2 × mean airway pressure × 100 / PaO2 and must not invent an OI or an ECMO-initiation threshold.
When not to use
- Not a diagnosis. This is FiO2 × mean airway pressure × 100 / PaO2; it is not an ECMO-initiation protocol.
- Mean airway pressure is ventilator cm H2O, not blood-pressure MAP.
- FiO2 is a fraction (0.21–1.0), not a percent.
Formula
oxygenation_index = fio2 * mean_airway_pressure_cm_h2o * 100 / pao2_mm_hg
Citation
- Title
- Extracorporeal membrane oxygenation in pediatric respiratory failure
- Authors
- Ortiz RM, Cilley RE, Bartlett RH
- Source
- Pediatr Clin North Am. 1987;34(1):39-46
Worked example
FiO2 0.5, MAP 12 cm H2O, PaO2 80
Given:
fio2=0.5mean_airway_pressure_cm_h2o=12pao2_mm_hg=80
- OI = 0.5 × 12 × 100 / 80 = 7.5
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
/api/calc/oxygenation_index?fio2=0.5&mean_airway_pressure_cm_h2o=12&pao2_mm_hg=80
Full URL: https://api.magentlab.com/api/calc/oxygenation_index?fio2=0.5&mean_airway_pressure_cm_h2o=12&pao2_mm_hg=80
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. HTTP 503 after a signature: retry the same
PAYMENT-SIGNATURE
— that is not a new 402.
curl -i -H "Accept: application/json" "https://api.magentlab.com/api/calc/oxygenation_index?fio2=0.5&mean_airway_pressure_cm_h2o=12&pao2_mm_hg=80"
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 |
|---|---|---|---|
fio2 |
number | required | Inspired oxygen as a fraction (0.21-1.0), not a percent. |
mean_airway_pressure_cm_h2o |
number | required | Mean airway pressure in cm H2O (4-45), not blood-pressure MAP. |
pao2_mm_hg |
number | required | Arterial PO2 in mm Hg (20-700). |
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": [
{
"fio2": "0.5",
"mean_airway_pressure_cm_h2o": "12",
"pao2_mm_hg": "80"
},
{
"fio2": "0.5",
"mean_airway_pressure_cm_h2o": "12",
"pao2_mm_hg": "80"
}
]
}
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/oxygenation_index",
"items": [
{
"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": "Ortiz RM, Cilley RE, Bartlett RH",
"doi": "10.1016/S0031-3955(16)36180-7",
"id": "ortiz-bartlett-1987",
"source": "Pediatr Clin North Am. 1987;34(1):39-46",
"title": "Extracorporeal membrane oxygenation in pediatric respiratory failure"
},
"formula": "oxygenation_index",
"formula_expression": "oxygenation_index = fio2 * mean_airway_pressure_cm_h2o * 100 / pao2_mm_hg",
"fio2": 0.5,
"pao2_mm_hg": 80.0,
"mean_airway_pressure_cm_h2o": 12.0,
"oxygenation_index": 7.5
},
{
"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": "Ortiz RM, Cilley RE, Bartlett RH",
"doi": "10.1016/S0031-3955(16)36180-7",
"id": "ortiz-bartlett-1987",
"source": "Pediatr Clin North Am. 1987;34(1):39-46",
"title": "Extracorporeal membrane oxygenation in pediatric respiratory failure"
},
"formula": "oxygenation_index",
"formula_expression": "oxygenation_index = fio2 * mean_airway_pressure_cm_h2o * 100 / pao2_mm_hg",
"fio2": 0.5,
"pao2_mm_hg": 80.0,
"mean_airway_pressure_cm_h2o": 12.0,
"oxygenation_index": 7.5
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | oxygenation_index |
formula_expression |
string | Exact expression used |
fio2 |
number | Inspired oxygen fraction used |
mean_airway_pressure_cm_h2o |
number | Mean airway pressure in cm H2O used |
pao2_mm_hg |
number | Arterial PO2 used |
oxygenation_index |
number | FiO2 × mean airway pressure × 100 / PaO2, 1 decimal |
citation |
object | Ortiz, Cilley, and Bartlett 1987 citation |
disclaimer |
string | Not-a-device notice |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"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": "Ortiz RM, Cilley RE, Bartlett RH",
"doi": "10.1016/S0031-3955(16)36180-7",
"id": "ortiz-bartlett-1987",
"source": "Pediatr Clin North Am. 1987;34(1):39-46",
"title": "Extracorporeal membrane oxygenation in pediatric respiratory failure"
},
"formula": "oxygenation_index",
"formula_expression": "oxygenation_index = fio2 * mean_airway_pressure_cm_h2o * 100 / pao2_mm_hg",
"fio2": 0.5,
"pao2_mm_hg": 80.0,
"mean_airway_pressure_cm_h2o": 12.0,
"oxygenation_index": 7.5
}
Errors
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_fio2 |
fio2 must be a fraction from 0.21 to 1.0. Returned before settlement; you are not charged. |
| 400 | invalid_mean_airway_pressure |
mean_airway_pressure_cm_h2o must be a number from 4 to 45. Returned before settlement; you are not charged. |
| 400 | invalid_pao2 |
pao2_mm_hg must be a number from 20 to 700. 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 | settle_failed |
Settlement failed; retry with the same PAYMENT-SIGNATURE shortly |
| 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
- A-a O2 gradient — Compute the alveolar–arterial oxygen gradient from arterial blood-gas values using the simplified ideal alveolar-gas equation.
Also searched as
- OI
- oxygenation index
- oxygenation index OI
- ventilator OI
- FiO2 mean airway pressure PaO2
- mean airway pressure oxygenation
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. HTTP 503 is not a new quote: retry the same PAYMENT-SIGNATURE. 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 (paymentFlow upfront). 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.