Emergency · LIVE
PEG (Krebs)
PEG
Compute the Krebs 2009 PEG as the unweighted mean of three caller-assigned 0-10 integers (pain_average, enjoyment_of_life, general_activity). Potential range 0-10. Krebs 2009 did not publish a diagnostic cutoff.
Markdown: /docs/peg.md · Canonical: https://magentlab.com/docs/peg
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Compute the Krebs 2009 PEG as the unweighted mean of three caller-assigned 0-10 integers (pain_average, enjoyment_of_life, general_activity). Potential range 0-10. Krebs 2009 did not publish a diagnostic cutoff.
When to use
When an agent has already assigned Krebs 2009 PEG integers 0-10 for average pain, enjoyment-of-life interference, and general-activity interference in the past week and needs the published mean, not a pain diagnosis, opioid order, Brief Pain Inventory total, or an invented severity band.
When not to use
- Not a medical device and not a pain diagnosis or opioid order.
- Each item is a caller-assigned integer 0-10. magent does not interview the patient.
- Krebs 2009 did not publish a diagnostic cutoff. magent does not invent mild, moderate, or severe bands.
- This is the three-item PEG mean, not the full Brief Pain Inventory.
Formula
PEG = (pain_average + enjoyment_of_life + general_activity) / 3; each caller-assigned 0-10; Krebs 2009; potential range 0-10
Citation
- Authors
- Krebs EE, Lorenz KA, Bair MJ, Damush TM, Wu J, Sutherland JM, Asch SM, Kroenke K
- Source
- J Gen Intern Med. 2009;24(6):733-738
Worked example
All items 0
Given:
enjoyment_of_life=0general_activity=0pain_average=0
- PEG = (0 + 0 + 0) / 3
- Score = 0.0 (max 10)
Uneven items 1, 2, 4
Given:
enjoyment_of_life=2general_activity=4pain_average=1
- PEG = (1 + 2 + 4) / 3 = 7/3 = 2.333…
- Score = 2.3 (max 10)
Also searched as
- PEG
- PEG scale
- Pain Enjoyment General activity
- Krebs PEG
- Krebs 2009 PEG
- three-item PEG
- pain interference scale
- PEG score
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
/api/calc/peg?pain_average=0&enjoyment_of_life=0&general_activity=0
Full URL: https://api.magentlab.com/api/calc/peg?pain_average=0&enjoyment_of_life=0&general_activity=0
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/peg?pain_average=0&enjoyment_of_life=0&general_activity=0"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
pain_average |
integer | required | Caller-assigned Krebs 2009 PEG item (integer 0-10): "What number best describes your pain on average in the past week?" 0 = no pain, 10 = pain as bad as you can imagine. magent does not interview the patient. |
enjoyment_of_life |
integer | required | Caller-assigned Krebs 2009 PEG interference with enjoyment of life in the past week (integer 0-10). 0 = does not interfere, 10 = completely interferes. magent does not interview the patient. |
general_activity |
integer | required | Caller-assigned Krebs 2009 PEG interference with general activity in the past week (integer 0-10). 0 = does not interfere, 10 = completely interferes. magent does not interview 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.
- 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": [
{
"enjoyment_of_life": "0",
"general_activity": "0",
"pain_average": "0"
},
{
"enjoyment_of_life": "0",
"general_activity": "0",
"pain_average": "0"
}
]
}
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/peg",
"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": "Krebs EE, Lorenz KA, Bair MJ, Damush TM, Wu J, Sutherland JM, Asch SM, Kroenke K",
"doi": "10.1007/s11606-009-0981-1",
"id": "krebs-2009",
"pmid": "19418100",
"source": "J Gen Intern Med. 2009;24(6):733-738",
"title": "Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference"
},
"formula": "peg",
"formula_expression": "PEG = (pain_average + enjoyment_of_life + general_activity) / 3; each caller-assigned 0-10; Krebs 2009; potential range 0-10",
"max_score": 10,
"score": 0.0,
"enjoyment_of_life": 0,
"general_activity": 0,
"pain_average": 0
},
{
"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": "Krebs EE, Lorenz KA, Bair MJ, Damush TM, Wu J, Sutherland JM, Asch SM, Kroenke K",
"doi": "10.1007/s11606-009-0981-1",
"id": "krebs-2009",
"pmid": "19418100",
"source": "J Gen Intern Med. 2009;24(6):733-738",
"title": "Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference"
},
"formula": "peg",
"formula_expression": "PEG = (pain_average + enjoyment_of_life + general_activity) / 3; each caller-assigned 0-10; Krebs 2009; potential range 0-10",
"max_score": 10,
"score": 0.0,
"enjoyment_of_life": 0,
"general_activity": 0,
"pain_average": 0
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | peg |
formula_expression |
string | Exact expression used |
score |
number | Unweighted mean of the three items, 1 decimal |
max_score |
integer | Always 10 |
pain_average |
integer | Caller-assigned average pain in the past week, 0-10 |
enjoyment_of_life |
integer | Caller-assigned enjoyment-of-life interference in the past week, 0-10 |
general_activity |
integer | Caller-assigned general-activity interference in the past week, 0-10 |
citation |
object | Krebs et al. J Gen Intern Med 2009 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": "Krebs EE, Lorenz KA, Bair MJ, Damush TM, Wu J, Sutherland JM, Asch SM, Kroenke K",
"doi": "10.1007/s11606-009-0981-1",
"id": "krebs-2009",
"pmid": "19418100",
"source": "J Gen Intern Med. 2009;24(6):733-738",
"title": "Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference"
},
"formula": "peg",
"formula_expression": "PEG = (pain_average + enjoyment_of_life + general_activity) / 3; each caller-assigned 0-10; Krebs 2009; potential range 0-10",
"max_score": 10,
"score": 0.0,
"enjoyment_of_life": 0,
"general_activity": 0,
"pain_average": 0
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_peg_item |
pain_average, enjoyment_of_life, and general_activity must each be an integer from 0 to 10 (Krebs 2009 PEG). 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
- PAINAD — Sum five caller-assigned Warden 2003 PAINAD integers (0-2) and return the published total (max 10).
- FLACC — Sum five caller-assigned Merkel 1997 FLACC integers (0-2) and return the published total (max 10).
- CPOT — Sum four caller-assigned Gélinas 2006 CPOT integers (0-2) and return the published total (max 8). The fourth item is ventilator_compliance when intubated or vocalization when extubated.
- BPS — Sum three caller-assigned Payen 2001 BPS integers (1-4) and return the published total (range 3-12).
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.