Infection / VTE · LIVE
PE-SARD bleeding score (Chopard)
PE-SARD
Sum the Chopard 2021 PE-SARD factors (syncope, anemia, renal dysfunction) and return the published early major-bleed risk band.
Markdown: /docs/pe-sard.md · Canonical: https://magentlab.com/docs/pe-sard
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Sum the Chopard 2021 PE-SARD factors (syncope, anemia, renal dysfunction) and return the published early major-bleed risk band.
When to use
When an agent needs the published PE-SARD point total and band for early major bleeding in acute PE and must not invent a PE diagnosis or anticoagulation decision.
When not to use
- Not a medical device.
- Not a PE diagnosis and not an anticoagulation order or treatment recommendation.
- magent does not assay hemoglobin or compute GFR. Anemia (Chopard 2021: hemoglobin <12 g/dL) and renal dysfunction (GFR <60 mL/min) are caller-assigned flags.
- Bands follow Chopard 2021: low (score 0), intermediate (1–2.5 inclusive), high (>2.5). JSON does not include unpublished intermediate observed bleed rates.
Formula
PE-SARD (Chopard 2021) = syncope (1.5) + anemia Hb<12 g/dL (2.5) + renal_dysfunction GFR<60 (1); max 5; 0 low, 1-2.5 intermediate, >2.5 high; half-points not integer-rounded
Citation
- Authors
- Chopard R, Piazza G, Falvo N, Ecarnot F, Besutti M, Capellier G, Schiele F, Badoz M, Meneveau N
- Source
- Chest. 2021;160(5):1832-1843
Worked example
All three flags false
Given:
anemia=falserenal_dysfunction=falsesyncope=false
- syncope false → 0; anemia false → 0; renal_dysfunction false → 0
- Score = 0 (max 5); risk = low
All three flags true
Given:
anemia=truerenal_dysfunction=truesyncope=true
- syncope true → 1.5; anemia true → 2.5; renal_dysfunction true → 1
- Score = 5 (max 5); risk = high
Also searched as
- PE-SARD
- PE SARD score
- Chopard bleeding score
- syncope anemia renal PE
- pulmonary embolism bleed score
- PE-SARD bleeding score
- Chopard 2021 PE-SARD
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
/api/calc/pe_sard?syncope=false&anemia=false&renal_dysfunction=false
Full URL: https://api.magentlab.com/api/calc/pe_sard?syncope=false&anemia=false&renal_dysfunction=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/pe_sard?syncope=false&anemia=false&renal_dysfunction=false"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
syncope |
boolean | required | Syncope as assigned by the caller (Chopard 2021). true scores 1.5. magent does not take a syncope history. |
anemia |
boolean | required | Anemia as assigned by the caller (Chopard 2021: hemoglobin <12 g/dL). true scores 2.5. magent does not assay hemoglobin. |
renal_dysfunction |
boolean | required | Renal dysfunction as assigned by the caller (Chopard 2021: GFR <60 mL/min). true scores 1. magent does not compute GFR. |
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.
- 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": [
{
"anemia": "false",
"renal_dysfunction": "false",
"syncope": "false"
},
{
"anemia": "false",
"renal_dysfunction": "false",
"syncope": "false"
}
]
}
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/pe_sard",
"items": [
{
"components": [
{
"factor": "syncope",
"points": 0.0,
"present": false
},
{
"factor": "anemia",
"points": 0.0,
"present": false
},
{
"factor": "renal_dysfunction",
"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": "Chopard R, Piazza G, Falvo N, Ecarnot F, Besutti M, Capellier G, Schiele F, Badoz M, Meneveau N",
"doi": "10.1016/j.chest.2021.06.048",
"id": "chopard-2021",
"pmid": "34217683",
"source": "Chest. 2021;160(5):1832-1843",
"title": "An Original Risk Score to Predict Early Major Bleeding in Acute Pulmonary Embolism: The Syncope, Anemia, Renal Dysfunction (PE-SARD) Bleeding Score"
},
"formula": "pe_sard",
"formula_expression": "PE-SARD (Chopard 2021) = syncope (1.5) + anemia Hb<12 g/dL (2.5) + renal_dysfunction GFR<60 (1); max 5; 0 low, 1-2.5 intermediate, >2.5 high; half-points not integer-rounded",
"max_score": 5,
"score": 0,
"risk": "low"
},
{
"components": [
{
"factor": "syncope",
"points": 0.0,
"present": false
},
{
"factor": "anemia",
"points": 0.0,
"present": false
},
{
"factor": "renal_dysfunction",
"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": "Chopard R, Piazza G, Falvo N, Ecarnot F, Besutti M, Capellier G, Schiele F, Badoz M, Meneveau N",
"doi": "10.1016/j.chest.2021.06.048",
"id": "chopard-2021",
"pmid": "34217683",
"source": "Chest. 2021;160(5):1832-1843",
"title": "An Original Risk Score to Predict Early Major Bleeding in Acute Pulmonary Embolism: The Syncope, Anemia, Renal Dysfunction (PE-SARD) Bleeding Score"
},
"formula": "pe_sard",
"formula_expression": "PE-SARD (Chopard 2021) = syncope (1.5) + anemia Hb<12 g/dL (2.5) + renal_dysfunction GFR<60 (1); max 5; 0 low, 1-2.5 intermediate, >2.5 high; half-points not integer-rounded",
"max_score": 5,
"score": 0,
"risk": "low"
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | pe_sard |
formula_expression |
string | Exact expression used |
score |
number | PE-SARD points 0-5 (half-points allowed; not integer-rounded) |
max_score |
integer | Always 5 |
risk |
string | Chopard 2021 band: low (score 0), intermediate (1–2.5 inclusive), high (>2.5). Not a PE diagnosis and not an anticoagulation order. |
components |
array | Per-factor points |
citation |
object | Chopard et al. Chest 2021 citation |
disclaimer |
string | Not-a-device notice |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"components": [
{
"factor": "syncope",
"points": 0.0,
"present": false
},
{
"factor": "anemia",
"points": 0.0,
"present": false
},
{
"factor": "renal_dysfunction",
"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": "Chopard R, Piazza G, Falvo N, Ecarnot F, Besutti M, Capellier G, Schiele F, Badoz M, Meneveau N",
"doi": "10.1016/j.chest.2021.06.048",
"id": "chopard-2021",
"pmid": "34217683",
"source": "Chest. 2021;160(5):1832-1843",
"title": "An Original Risk Score to Predict Early Major Bleeding in Acute Pulmonary Embolism: The Syncope, Anemia, Renal Dysfunction (PE-SARD) Bleeding Score"
},
"formula": "pe_sard",
"formula_expression": "PE-SARD (Chopard 2021) = syncope (1.5) + anemia Hb<12 g/dL (2.5) + renal_dysfunction GFR<60 (1); max 5; 0 low, 1-2.5 intermediate, >2.5 high; half-points not integer-rounded",
"max_score": 5,
"score": 0,
"risk": "low"
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_pe_sard |
PE-SARD inputs must match Chopard 2021 syncope, anemia, and renal-dysfunction factors from that paper. 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
- Wells PE — Compute the Wells pulmonary-embolism probability score and return three-tier and two-tier bands.
- IMPROVE Bleed — Sum the Decousus 2011 IMPROVE admission bleeding-risk points from age, sex, renal-failure band, and eight caller-assigned flags, and return whether the published >=7 high-risk cutoff is met.
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.