# Simplified AIH criteria (Hennes)

Simplified AIH

Status: LIVE
Price: $0.005 USDC
`GET /api/calc/simplified_aih`
HTML: https://magentlab.com/docs/simplified-aih
Markdown: https://magentlab.com/docs/simplified-aih.md

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

## What it computes

Sum the Hennes 2008 simplified autoimmune-hepatitis criteria (Table 2) from caller-assigned autoantibody, IgG, histology, and viral-hepatitis points and return not_aih (<6), probable (6), or definite (≥7).

## When to use

When an agent already has Hennes 2008 Table 2 points assigned and needs the published total and band, not an autoimmune-hepatitis diagnosis and not the original IAHG 1999 score.

## When not to use

- Not a medical device and not an autoimmune-hepatitis diagnosis or treatment choice. magent does not examine the patient.
- This is the Hennes 2008 simplified score (Table 2), not the original IAHG 1999 scoring system.
- magent does not titer autoantibodies, assay IgG vs ULN, or read liver histology. autoantibody_points, igg_points, histology, and viral_hepatitis_absent are caller-assigned.
- This API does not collect names, MRNs, or dates of birth.

## Formula

```
simplified AIH = autoantibody_points (0-2) + igg_points (0-2) + histology (none 0, compatible 1, typical 2) + viral_hepatitis_absent (true 2); Hennes 2008 Table 2; max 8; <6 not_aih, 6 probable, ≥7 definite
```

## Citation

[Simplified criteria for the diagnosis of autoimmune hepatitis](https://doi.org/10.1002/hep.22322)
Hennes EM, Zeniya M, Czaja AJ, Parés A, Dalekos GN, Krawitt EL, Bittencourt PL, Porta G, Boberg KM, Hofer H, Francesconi F, Dufour JF, Vergani D, Lohse AW; International Autoimmune Hepatitis Group
Hepatology. 2008;48(1):169-176
DOI: [10.1002/hep.22322](https://doi.org/10.1002/hep.22322)

## Worked example

### Typical histology with maximum autoantibody, IgG, and viral points

Given: `autoantibody_points=2, histology=typical, igg_points=2, viral_hepatitis_absent=true`

1. autoantibody_points 2; igg_points 2; histology typical → 2; viral_hepatitis_absent true → 2
2. Score = 8 (max 8); aih_band = definite


### Compatible histology with IgG 1 point

Given: `autoantibody_points=2, histology=compatible, igg_points=1, viral_hepatitis_absent=true`

1. autoantibody_points 2; igg_points 1; histology compatible → 1; viral_hepatitis_absent true → 2
2. Score = 6 (max 8); aih_band = probable


## Also searched as

- simplified AIH
- Hennes 2008 AIH
- simplified autoimmune hepatitis
- IAHG simplified criteria
- simplified AIH score
- autoimmune hepatitis simplified score
- Hennes AIH criteria
- simplified diagnostic criteria AIH

## Parameters

- `autoantibody_points` (integer, required): Caller-assigned Hennes 2008 Table 2 autoantibody points (0, 1, or 2; max 2 across ANA/SMA/LKM/SLA). 0: not scoring. 1: ANA or SMA ≥1:40. 2: ANA or SMA ≥1:80 or LKM ≥1:40 or SLA positive. magent does not titer autoantibodies.
- `igg_points` (integer, required): Caller-assigned Hennes 2008 Table 2 IgG points (0, 1, or 2). 0: IgG ≤ULN. 1: IgG >ULN. 2: IgG >1.10×ULN. magent does not assay IgG vs ULN.
- `histology` (string, required): Caller-assigned Hennes 2008 Table 2 liver histology. none scores 0 (hepatitis is required for histology points). compatible scores 1. typical scores 2. magent does not read liver histology.
- `viral_hepatitis_absent` (boolean, required): Caller-assigned Hennes 2008 Table 2 viral hepatitis absence. true scores 2; false scores 0. magent does not interpret viral serology.

## 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.

Method: `POST /api/calc/simplified_aih`
Max items: 25
Price: unit_amount + extra_item_amount * (n - 1) (unit 5000 atomic, extra 2000 atomic)
Status: 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:

```json
{
  "items": [
    {
      "autoantibody_points": "2",
      "histology": "typical",
      "igg_points": "2",
      "viral_hepatitis_absent": "true"
    },
    {
      "autoantibody_points": "2",
      "histology": "typical",
      "igg_points": "2",
      "viral_hepatitis_absent": "true"
    }
  ]
}
```

Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/simplified-aih

Example 200:

```json
{
  "count": 2,
  "path": "/api/calc/simplified_aih",
  "items": [
    {
      "components": [
        {
          "value": 2,
          "factor": "autoantibody_points",
          "points": 2,
          "present": true
        },
        {
          "value": 2,
          "factor": "igg_points",
          "points": 2,
          "present": true
        },
        {
          "value": "typical",
          "factor": "histology",
          "points": 2,
          "present": true
        },
        {
          "factor": "viral_hepatitis_absent",
          "points": 2,
          "present": 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": "Hennes EM, Zeniya M, Czaja AJ, Parés A, Dalekos GN, Krawitt EL, Bittencourt PL, Porta G, Boberg KM, Hofer H, Francesconi F, Dufour JF, Vergani D, Lohse AW; International Autoimmune Hepatitis Group",
        "doi": "10.1002/hep.22322",
        "id": "hennes-2008",
        "pmid": "18537184",
        "source": "Hepatology. 2008;48(1):169-176",
        "title": "Simplified criteria for the diagnosis of autoimmune hepatitis"
      },
      "formula": "simplified_aih",
      "formula_expression": "simplified AIH = autoantibody_points (0-2) + igg_points (0-2) + histology (none 0, compatible 1, typical 2) + viral_hepatitis_absent (true 2); Hennes 2008 Table 2; max 8; <6 not_aih, 6 probable, ≥7 definite",
      "max_score": 8,
      "score": 8,
      "aih_band": "definite"
    },
    {
      "components": [
        {
          "value": 2,
          "factor": "autoantibody_points",
          "points": 2,
          "present": true
        },
        {
          "value": 2,
          "factor": "igg_points",
          "points": 2,
          "present": true
        },
        {
          "value": "typical",
          "factor": "histology",
          "points": 2,
          "present": true
        },
        {
          "factor": "viral_hepatitis_absent",
          "points": 2,
          "present": 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": "Hennes EM, Zeniya M, Czaja AJ, Parés A, Dalekos GN, Krawitt EL, Bittencourt PL, Porta G, Boberg KM, Hofer H, Francesconi F, Dufour JF, Vergani D, Lohse AW; International Autoimmune Hepatitis Group",
        "doi": "10.1002/hep.22322",
        "id": "hennes-2008",
        "pmid": "18537184",
        "source": "Hepatology. 2008;48(1):169-176",
        "title": "Simplified criteria for the diagnosis of autoimmune hepatitis"
      },
      "formula": "simplified_aih",
      "formula_expression": "simplified AIH = autoantibody_points (0-2) + igg_points (0-2) + histology (none 0, compatible 1, typical 2) + viral_hepatitis_absent (true 2); Hennes 2008 Table 2; max 8; <6 not_aih, 6 probable, ≥7 definite",
      "max_score": 8,
      "score": 8,
      "aih_band": "definite"
    }
  ]
}
```

## Response fields

- `formula` (string): simplified_aih
- `formula_expression` (string): Exact expression used
- `score` (integer): Simplified AIH points 0-8
- `max_score` (integer): Always 8
- `aih_band` (string): not_aih when score is <6, probable when 6, definite when ≥7 (Hennes 2008 Table 2). Not an autoimmune-hepatitis diagnosis. Not the original IAHG 1999 score.
- `components` (array): Per-factor points
- `citation` (object): Hennes 2008 Hepatology citation
- `disclaimer` (string): Not-a-device notice

## Example JSON

Frozen fixture. Not a live lookup.

```json
{
  "components": [
    {
      "value": 2,
      "factor": "autoantibody_points",
      "points": 2,
      "present": true
    },
    {
      "value": 2,
      "factor": "igg_points",
      "points": 2,
      "present": true
    },
    {
      "value": "typical",
      "factor": "histology",
      "points": 2,
      "present": true
    },
    {
      "factor": "viral_hepatitis_absent",
      "points": 2,
      "present": 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": "Hennes EM, Zeniya M, Czaja AJ, Parés A, Dalekos GN, Krawitt EL, Bittencourt PL, Porta G, Boberg KM, Hofer H, Francesconi F, Dufour JF, Vergani D, Lohse AW; International Autoimmune Hepatitis Group",
    "doi": "10.1002/hep.22322",
    "id": "hennes-2008",
    "pmid": "18537184",
    "source": "Hepatology. 2008;48(1):169-176",
    "title": "Simplified criteria for the diagnosis of autoimmune hepatitis"
  },
  "formula": "simplified_aih",
  "formula_expression": "simplified AIH = autoantibody_points (0-2) + igg_points (0-2) + histology (none 0, compatible 1, typical 2) + viral_hepatitis_absent (true 2); Hennes 2008 Table 2; max 8; <6 not_aih, 6 probable, ≥7 definite",
  "max_score": 8,
  "score": 8,
  "aih_band": "definite"
}
```

## Errors

- HTTP 400 `invalid_aih_autoantibody`: autoantibody_points must be 0, 1, or 2 (Hennes 2008 Table 2; max 2 across ANA/SMA/LKM/SLA). Returned before settlement; you are not charged.
- HTTP 400 `invalid_aih_igg`: igg_points must be 0, 1, or 2 (Hennes 2008: 0 ≤ULN, 1 >ULN, 2 >1.10×ULN). Returned before settlement; you are not charged.
- HTTP 400 `invalid_aih_histology`: histology must be none, compatible, or typical (Hennes 2008; hepatitis is required for histology points). Returned before settlement; you are not charged.
- HTTP 400 `invalid_flag`: boolean clinical flags must be true or false Returned before settlement; you are not charged.
- HTTP 400 `invalid_items`: POST body must be a JSON object with only an items array Returned before settlement; you are not charged.
- HTTP 400 `invalid_item_count`: items must be an array of 1 to 25 objects Returned before settlement; you are not charged.
- HTTP 400 `invalid_item`: each items entry must be a JSON object Returned before settlement; you are not charged.

Shared HTTP 402 and 503: https://magentlab.com/docs/payments

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- [ALBI](https://magentlab.com/docs/albi) — Compute the Johnson 2015 albumin-bilirubin (ALBI) linear predictor and grade from total bilirubin and albumin.

## 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.

- GET the tool with Accept: application/json (do not send Accept: text/html unless you want the human paywall).
- HTTP 402 means you have not paid. Decode the base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote.
- Sign accepts[0] (exact, EIP-3009) with validBefore = now + maxTimeoutSeconds (600 seconds), or accepts[1] (batch-settlement deposit/voucher) on product GET. Ping and POST {items} stay exact. Magent retries transient facilitator 429/5xx before answering.
- Retry the same URL with PAYMENT-SIGNATURE (base64 JSON of accepted and payload). Magent attaches canonical extensions.bazaar on CDP verify/settle; echoing 402 bazaar is optional.
- Success is HTTP 200 JSON plus PAYMENT-RESPONSE. exact settles before the tool. batch-settlement verifies (and deposit-settles) before the tool and commits the charge after HTTP 2xx. HTTP 503: retry the same PAYMENT-SIGNATURE. Mint a new exact nonce only after a new HTTP 402.

- offered `exact` on eip155:8453: Fixed-price USDC on Base. The buyer authorizes the advertised amount (EIP-3009). magent settles before the tool runs (paymentFlow upfront). extra.assetTransferMethod=eip3009 extra.paymentFlow=upfront.
- offered `batch-settlement` on eip155:8453: Payment-channel vouchers claimed later in batches. Exact stays accepts[0]. Same-path POST {items} is still exact. extra.assetTransferMethod=eip3009 extra.paymentFlow=authorization.

- not offered `upto`: Not offered. Usage-based: buyer authorizes a ceiling, seller settles the actual amount after work. Reserved for a future metered tool. Not for current calculators or code search.

Same-path POST {items} is still scheme exact: one EIP-3009 authorization for GET unit plus $0.002 per extra item. That is not x402 batch-settlement (payment channels / vouchers).

Shared HTTP 402 and 503 table: https://magentlab.com/docs/payments

Stdio MCP (one process per host): https://magentlab.com/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.
- 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.
