Hematology · LIVE

SCORMA (Scoring Mastocytosis Index)

SCORMA

Compute Heide 2001 SCORMA from caller-assigned body-surface extent (0-100), four intensity signs (each 0-3), and five subjective symptoms (each 0-10) using scorma = extent_percent/5 + 5*intensity_sum + 2*symptom_sum/5. Theoretical max 100. All-zero is 0.

LIVE $0.005 USDC GET /api/calc/scorma

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

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

What it computes

Compute Heide 2001 SCORMA from caller-assigned body-surface extent (0-100), four intensity signs (each 0-3), and five subjective symptoms (each 0-10) using scorma = extent_percent/5 + 5*intensity_sum + 2*symptom_sum/5. Theoretical max 100. All-zero is 0.

When to use

When an agent already has caller-assigned Heide 2001 SCORMA extent, intensity signs, and subjective symptom values and needs the published 0-100 index. magent does not examine the skin, assign Darier's sign, diagnose mastocytosis, apply WHO/ICC criteria, compute REMA, or assay tryptase.

When not to use

• Not a medical device and not a diagnosis of mastocytosis or a treatment order. magent does not examine the skin or assign Darier's sign. Extent, intensity signs, and subjective symptoms are caller-assigned.
• Not WHO or ICC mastocytosis diagnostic criteria. Not REMA. magent does not assay tryptase.
• Heide 2001 equalized parts A, B, and C toward a 0-100 index (A/5 + 5B + 2C/5). All-zero is 0. magent does not apply a 5.2 floor or mild/moderate/severe bands that paper did not publish.
• Diffuse cutaneous mastocytosis is scored as extent_percent 100 as published. magent does not map body regions to that percent.

Formula

scorma = extent_percent/5 + 5*intensity_sum + 2*symptom_sum/5; intensity_sum = pigmentation + vesiculation + elevation_induration + darier_sign (each integer 0-3); symptom_sum = flushing + provocation_factors + diarrhoea + bone_pain + pruritus (each integer 0-10); extent_percent 0-100 (diffuse cutaneous mastocytosis is 100); theoretical max 100; Heide 2001; magent does not examine the skin or assign Darier's sign; not a diagnosis; not WHO/ICC mastocytosis criteria; not REMA; not tryptase

Citation

Title

Clinical scoring of cutaneous mastocytosis

Authors

Heide R, Middelkamp Hup MA, Mulder PG, Oranje AP

Source

Acta Derm Venereol. 2001;81(4):273-276

DOI

10.1080/00015550152572912

Worked example

Also searched as

• SCORMA
• SCORMA Index
• Scoring Mastocytosis Index
• Heide SCORMA
• Heide 2001 SCORMA
• cutaneous mastocytosis score
• mastocytosis SCORMA
• clinical scoring of cutaneous mastocytosis

Try

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

/api/calc/scorma?extent_percent=0&pigmentation=0&vesiculation=0&elevation_induration=0&darier_sign=0&flushing=0&provocation_factors=0&diarrhoea=0&bone_pain=0&pruritus=0

Full URL: https://api.magentlab.com/api/calc/scorma?extent_percent=0&pigmentation=0&vesiculation=0&elevation_induration=0&darier_sign=0&flushing=0&provocation_factors=0&diarrhoea=0&bone_pain=0&pruritus=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/scorma?extent_percent=0&pigmentation=0&vesiculation=0&elevation_induration=0&darier_sign=0&flushing=0&provocation_factors=0&diarrhoea=0&bone_pain=0&pruritus=0"

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/scorma 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": [
    {
      "bone_pain": "0",
      "darier_sign": "0",
      "diarrhoea": "0",
      "elevation_induration": "0",
      "extent_percent": "0",
      "flushing": "0",
      "pigmentation": "0",
      "provocation_factors": "0",
      "pruritus": "0",
      "vesiculation": "0"
    },
    {
      "bone_pain": "0",
      "darier_sign": "0",
      "diarrhoea": "0",
      "elevation_induration": "0",
      "extent_percent": "0",
      "flushing": "0",
      "pigmentation": "0",
      "provocation_factors": "0",
      "pruritus": "0",
      "vesiculation": "0"
    }
  ]
}

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/scorma",
  "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": "Heide R, Middelkamp Hup MA, Mulder PG, Oranje AP",
        "doi": "10.1080/00015550152572912",
        "id": "heide-2001",
        "pmid": "11720175",
        "source": "Acta Derm Venereol. 2001;81(4):273-276",
        "title": "Clinical scoring of cutaneous mastocytosis"
      },
      "formula": "scorma",
      "formula_expression": "scorma = extent_percent/5 + 5*intensity_sum + 2*symptom_sum/5; intensity_sum = pigmentation + vesiculation + elevation_induration + darier_sign (each integer 0-3); symptom_sum = flushing + provocation_factors + diarrhoea + bone_pain + pruritus (each integer 0-10); extent_percent 0-100 (diffuse cutaneous mastocytosis is 100); theoretical max 100; Heide 2001; magent does not examine the skin or assign Darier's sign; not a diagnosis; not WHO/ICC mastocytosis criteria; not REMA; not tryptase",
      "max_score": 100,
      "bone_pain": 0,
      "darier_sign": 0,
      "diarrhoea": 0,
      "elevation_induration": 0,
      "extent_percent": 0.0,
      "flushing": 0,
      "intensity_sum": 0,
      "pigmentation": 0,
      "provocation_factors": 0,
      "pruritus": 0,
      "scorma": 0.0,
      "symptom_sum": 0,
      "vesiculation": 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": "Heide R, Middelkamp Hup MA, Mulder PG, Oranje AP",
        "doi": "10.1080/00015550152572912",
        "id": "heide-2001",
        "pmid": "11720175",
        "source": "Acta Derm Venereol. 2001;81(4):273-276",
        "title": "Clinical scoring of cutaneous mastocytosis"
      },
      "formula": "scorma",
      "formula_expression": "scorma = extent_percent/5 + 5*intensity_sum + 2*symptom_sum/5; intensity_sum = pigmentation + vesiculation + elevation_induration + darier_sign (each integer 0-3); symptom_sum = flushing + provocation_factors + diarrhoea + bone_pain + pruritus (each integer 0-10); extent_percent 0-100 (diffuse cutaneous mastocytosis is 100); theoretical max 100; Heide 2001; magent does not examine the skin or assign Darier's sign; not a diagnosis; not WHO/ICC mastocytosis criteria; not REMA; not tryptase",
      "max_score": 100,
      "bone_pain": 0,
      "darier_sign": 0,
      "diarrhoea": 0,
      "elevation_induration": 0,
      "extent_percent": 0.0,
      "flushing": 0,
      "intensity_sum": 0,
      "pigmentation": 0,
      "provocation_factors": 0,
      "pruritus": 0,
      "scorma": 0.0,
      "symptom_sum": 0,
      "vesiculation": 0
    }
  ]
}

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": "Heide R, Middelkamp Hup MA, Mulder PG, Oranje AP",
    "doi": "10.1080/00015550152572912",
    "id": "heide-2001",
    "pmid": "11720175",
    "source": "Acta Derm Venereol. 2001;81(4):273-276",
    "title": "Clinical scoring of cutaneous mastocytosis"
  },
  "formula": "scorma",
  "formula_expression": "scorma = extent_percent/5 + 5*intensity_sum + 2*symptom_sum/5; intensity_sum = pigmentation + vesiculation + elevation_induration + darier_sign (each integer 0-3); symptom_sum = flushing + provocation_factors + diarrhoea + bone_pain + pruritus (each integer 0-10); extent_percent 0-100 (diffuse cutaneous mastocytosis is 100); theoretical max 100; Heide 2001; magent does not examine the skin or assign Darier's sign; not a diagnosis; not WHO/ICC mastocytosis criteria; not REMA; not tryptase",
  "max_score": 100,
  "bone_pain": 0,
  "darier_sign": 0,
  "diarrhoea": 0,
  "elevation_induration": 0,
  "extent_percent": 0.0,
  "flushing": 0,
  "intensity_sum": 0,
  "pigmentation": 0,
  "provocation_factors": 0,
  "pruritus": 0,
  "scorma": 0.0,
  "symptom_sum": 0,
  "vesiculation": 0
}

Client errors (HTTP 400)

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

Related tools

• REMA — Sum the Álvarez-Twose 2012 REMA points (sex, serum baseline tryptase, pruritus/hives/angioedema, syncope or presyncope) and return whether the total is ≥2 (published clonality and systemic-mastocytosis triage threshold).
• WHO 2016 SM criteria — Apply the Valent 2016 / WHO 2016 systemic mastocytosis diagnostic criteria (Table 1) and return whether the published combination of the major criterion plus at least one minor, or at least three minors, is met. Tryptase >20 ng/mL does not count when an unrelated myeloid neoplasm is present.
• MAPS — Sum the Pardanani 2018 MAPS hybrid clinical-molecular (Figure 3) points for systemic mastocytosis and return low (≤2), intermediate_1 (3), intermediate_2 (4), or high (≥5).

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.