Emergency · LIVE

Paradise recurrent throat infection

Paradise

Apply the Paradise 1984 eligibility frequency for recurrent throat infection and return whether paradise_criteria holds (frequency met and qualifying episode features).

LIVE $0.005 USDC GET /api/calc/paradise

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

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

What it computes

Apply the Paradise 1984 eligibility frequency for recurrent throat infection and return whether paradise_criteria holds (frequency met and qualifying episode features).

When to use

When an agent already has caller-assigned Paradise 1984 frequency flags and whether counting episodes had the trial's published qualifying features, and needs whether the published eligibility box holds. magent does not examine the patient or count episodes.

When not to use

• Not a medical device.
• Not a tonsillectomy order. magent does not decide whether to operate.
• The caller assigns frequency flags and qualifying episode features. magent does not examine the patient or count episodes.
• Paradise 1984 eligibility frequency only. Not AAO-HNS 2019 as a separate guideline tool.

Formula

paradise_criteria iff qualifying_episode_features and (ge_7_episodes_preceding_year or ge_5_episodes_each_of_2_years or ge_3_episodes_each_of_3_years) (Paradise 1984 eligibility frequency for recurrent throat infection)

Citation

Title

Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials

Authors

Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA

Source

N Engl J Med. 1984;310(11):674-683

DOI

10.1056/NEJM198403153101102

Worked example

Also searched as

• Paradise criteria
• Paradise 1984
• recurrent throat infection eligibility
• Paradise tonsillectomy criteria
• seven episodes preceding year
• recurrent tonsillitis frequency
• qualifying episode features Paradise

Try

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

/api/calc/paradise?ge_7_episodes_preceding_year=true&ge_5_episodes_each_of_2_years=false&ge_3_episodes_each_of_3_years=false&qualifying_episode_features=true

Full URL: https://api.magentlab.com/api/calc/paradise?ge_7_episodes_preceding_year=true&ge_5_episodes_each_of_2_years=false&ge_3_episodes_each_of_3_years=false&qualifying_episode_features=true

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/paradise?ge_7_episodes_preceding_year=true&ge_5_episodes_each_of_2_years=false&ge_3_episodes_each_of_3_years=false&qualifying_episode_features=true"

Parameters

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/paradise 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": [
    {
      "ge_3_episodes_each_of_3_years": "false",
      "ge_5_episodes_each_of_2_years": "false",
      "ge_7_episodes_preceding_year": "true",
      "qualifying_episode_features": "true"
    },
    {
      "ge_3_episodes_each_of_3_years": "false",
      "ge_5_episodes_each_of_2_years": "false",
      "ge_7_episodes_preceding_year": "true",
      "qualifying_episode_features": "true"
    }
  ]
}

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/paradise",
  "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": "Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA",
        "doi": "10.1056/NEJM198403153101102",
        "id": "paradise-1984",
        "pmid": "6700642",
        "source": "N Engl J Med. 1984;310(11):674-683",
        "title": "Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials"
      },
      "formula": "paradise",
      "formula_expression": "paradise_criteria iff qualifying_episode_features and (ge_7_episodes_preceding_year or ge_5_episodes_each_of_2_years or ge_3_episodes_each_of_3_years) (Paradise 1984 eligibility frequency for recurrent throat infection)",
      "criteria": [
        {
          "factor": "ge_7_episodes_preceding_year",
          "met": true
        },
        {
          "factor": "ge_5_episodes_each_of_2_years",
          "met": false
        },
        {
          "factor": "ge_3_episodes_each_of_3_years",
          "met": false
        },
        {
          "factor": "frequency_met",
          "met": true
        },
        {
          "factor": "qualifying_episode_features",
          "met": true
        }
      ],
      "frequency_met": true,
      "paradise_criteria": true
    },
    {
      "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": "Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA",
        "doi": "10.1056/NEJM198403153101102",
        "id": "paradise-1984",
        "pmid": "6700642",
        "source": "N Engl J Med. 1984;310(11):674-683",
        "title": "Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials"
      },
      "formula": "paradise",
      "formula_expression": "paradise_criteria iff qualifying_episode_features and (ge_7_episodes_preceding_year or ge_5_episodes_each_of_2_years or ge_3_episodes_each_of_3_years) (Paradise 1984 eligibility frequency for recurrent throat infection)",
      "criteria": [
        {
          "factor": "ge_7_episodes_preceding_year",
          "met": true
        },
        {
          "factor": "ge_5_episodes_each_of_2_years",
          "met": false
        },
        {
          "factor": "ge_3_episodes_each_of_3_years",
          "met": false
        },
        {
          "factor": "frequency_met",
          "met": true
        },
        {
          "factor": "qualifying_episode_features",
          "met": true
        }
      ],
      "frequency_met": true,
      "paradise_criteria": true
    }
  ]
}

Response

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": "Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA",
    "doi": "10.1056/NEJM198403153101102",
    "id": "paradise-1984",
    "pmid": "6700642",
    "source": "N Engl J Med. 1984;310(11):674-683",
    "title": "Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials"
  },
  "formula": "paradise",
  "formula_expression": "paradise_criteria iff qualifying_episode_features and (ge_7_episodes_preceding_year or ge_5_episodes_each_of_2_years or ge_3_episodes_each_of_3_years) (Paradise 1984 eligibility frequency for recurrent throat infection)",
  "criteria": [
    {
      "factor": "ge_7_episodes_preceding_year",
      "met": true
    },
    {
      "factor": "ge_5_episodes_each_of_2_years",
      "met": false
    },
    {
      "factor": "ge_3_episodes_each_of_3_years",
      "met": false
    },
    {
      "factor": "frequency_met",
      "met": true
    },
    {
      "factor": "qualifying_episode_features",
      "met": true
    }
  ],
  "frequency_met": true,
  "paradise_criteria": true
}

Client errors (HTTP 400)

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

Related tools

• Centor and McIsaac scores — Compute the Centor score or the McIsaac age-modified score from four caller-assigned pharyngitis findings. The edition is required.
• FeverPAIN — Sum the five Little 2013 FeverPAIN flags for sore throat and return the published 0-1 / 2-3 / 4-5 score group.
• Westley croup — Sum the Westley 1978 croup clinical score from caller-assigned consciousness, cyanosis, stridor, air entry, and retractions (maximum 17).

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.