# TIMI UA/NSTEMI

Status: LIVE
Price: $0.005 USDC
`GET /api/calc/timi_ua_nstemi`
HTML: https://magentlab.com/docs/timi-ua-nstemi
Markdown: https://magentlab.com/docs/timi-ua-nstemi.md

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

## What it computes

Compute the TIMI risk score for unstable angina / NSTEMI from age and six caller-assigned flags.

## When to use

When an agent needs the published TIMI UA/NSTEMI total and must not invent points from a chart narrative.

## When not to use

- Not an invasive-strategy protocol and not a diagnosis.
- cad_risk_factors_ge_3 is a caller-assigned flag. magent does not expand smoking, hypertension, family history, diabetes, or cholesterol.
- st_deviation is a caller-assigned flag. magent does not read ECGs.

## Formula

```
TIMI UA/NSTEMI = age_ge_65 + cad_risk_factors_ge_3 + known_cad + aspirin_last_7d + severe_angina + st_deviation + elevated_markers; each 1 if present; max 7
```

## Citation

The TIMI risk score for unstable angina/non–ST elevation MI: A method for prognostication and therapeutic decision making
Antman EM, Cohen M, Bernink PJLM, et al.
JAMA. 2000;284(7):835-842
DOI: [10.1001/jama.284.7.835](https://doi.org/10.1001/jama.284.7.835)

## Worked example

### Age 50, all flags false

Given: `age=50, aspirin_last_7d=false, cad_risk_factors_ge_3=false, elevated_markers=false, known_cad=false, severe_angina=false, st_deviation=false`

1. Age 50 < 65 → 0; six flags absent → 0 each
2. Score = 0 (max 7)


## Parameters

- `age` (integer, required): Age in years (18-120). Age ≥65 scores 1.
- `cad_risk_factors_ge_3` (boolean, required): ≥3 CAD risk factors as assigned by the caller. true or false. magent does not expand smoking, hypertension, family history, diabetes, or cholesterol.
- `known_cad` (boolean, required): Known CAD (stenosis ≥50%). true or false.
- `aspirin_last_7d` (boolean, required): Aspirin use in the last 7 days. true or false.
- `severe_angina` (boolean, required): Severe angina (≥2 episodes in 24 hours). true or false.
- `st_deviation` (boolean, required): ST deviation ≥0.5 mm as assigned by the caller. true or false. magent does not read ECGs.
- `elevated_markers` (boolean, required): Elevated cardiac markers as assigned by the caller. true or false.

## Bulk (POST)

POST the same path with a JSON items array. Price is n times the GET unit. Invalid items return HTTP 400 before settlement.

Method: `POST /api/calc/timi_ua_nstemi`
Max items: 25
Price: unit_amount * n (unit 5000 atomic)
Status: PREVIEW

- 1 to 25 items. Each item uses the same keys as the GET query parameters.
- 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": [
    {
      "age": "50",
      "aspirin_last_7d": "false",
      "cad_risk_factors_ge_3": "false",
      "elevated_markers": "false",
      "known_cad": "false",
      "severe_angina": "false",
      "st_deviation": "false"
    },
    {
      "age": "50",
      "aspirin_last_7d": "false",
      "cad_risk_factors_ge_3": "false",
      "elevated_markers": "false",
      "known_cad": "false",
      "severe_angina": "false",
      "st_deviation": "false"
    }
  ]
}
```

Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/timi-ua-nstemi

Example 200:

```json
{
  "count": 2,
  "path": "/api/calc/timi_ua_nstemi",
  "items": [
    {
      "components": [
        {
          "value": 50,
          "factor": "age_ge_65",
          "points": 0,
          "present": false
        },
        {
          "factor": "cad_risk_factors_ge_3",
          "points": 0,
          "present": false
        },
        {
          "factor": "known_cad",
          "points": 0,
          "present": false
        },
        {
          "factor": "aspirin_last_7d",
          "points": 0,
          "present": false
        },
        {
          "factor": "severe_angina",
          "points": 0,
          "present": false
        },
        {
          "factor": "st_deviation",
          "points": 0,
          "present": false
        },
        {
          "factor": "elevated_markers",
          "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": "Antman EM, Cohen M, Bernink PJLM, et al.",
        "doi": "10.1001/jama.284.7.835",
        "id": "antman-2000",
        "source": "JAMA. 2000;284(7):835-842",
        "title": "The TIMI risk score for unstable angina/non–ST elevation MI: A method for prognostication and therapeutic decision making"
      },
      "formula": "timi_ua_nstemi",
      "formula_expression": "TIMI UA/NSTEMI = age_ge_65 + cad_risk_factors_ge_3 + known_cad + aspirin_last_7d + severe_angina + st_deviation + elevated_markers; each 1 if present; max 7",
      "age_years": 50,
      "max_score": 7,
      "score": 0
    },
    {
      "components": [
        {
          "value": 50,
          "factor": "age_ge_65",
          "points": 0,
          "present": false
        },
        {
          "factor": "cad_risk_factors_ge_3",
          "points": 0,
          "present": false
        },
        {
          "factor": "known_cad",
          "points": 0,
          "present": false
        },
        {
          "factor": "aspirin_last_7d",
          "points": 0,
          "present": false
        },
        {
          "factor": "severe_angina",
          "points": 0,
          "present": false
        },
        {
          "factor": "st_deviation",
          "points": 0,
          "present": false
        },
        {
          "factor": "elevated_markers",
          "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": "Antman EM, Cohen M, Bernink PJLM, et al.",
        "doi": "10.1001/jama.284.7.835",
        "id": "antman-2000",
        "source": "JAMA. 2000;284(7):835-842",
        "title": "The TIMI risk score for unstable angina/non–ST elevation MI: A method for prognostication and therapeutic decision making"
      },
      "formula": "timi_ua_nstemi",
      "formula_expression": "TIMI UA/NSTEMI = age_ge_65 + cad_risk_factors_ge_3 + known_cad + aspirin_last_7d + severe_angina + st_deviation + elevated_markers; each 1 if present; max 7",
      "age_years": 50,
      "max_score": 7,
      "score": 0
    }
  ]
}
```

## Response fields

- `formula` (string): timi_ua_nstemi
- `formula_expression` (string): Exact expression used
- `score` (integer): Total points 0-7
- `max_score` (integer): Always 7
- `age_years` (integer): Age used for the ≥65 criterion
- `components` (array): Per-factor points
- `citation` (object): JAMA 2000 citation
- `disclaimer` (string): Not-a-device notice

## Example JSON

Frozen fixture. Not a live lookup.

```json
{
  "components": [
    {
      "value": 50,
      "factor": "age_ge_65",
      "points": 0,
      "present": false
    },
    {
      "factor": "cad_risk_factors_ge_3",
      "points": 0,
      "present": false
    },
    {
      "factor": "known_cad",
      "points": 0,
      "present": false
    },
    {
      "factor": "aspirin_last_7d",
      "points": 0,
      "present": false
    },
    {
      "factor": "severe_angina",
      "points": 0,
      "present": false
    },
    {
      "factor": "st_deviation",
      "points": 0,
      "present": false
    },
    {
      "factor": "elevated_markers",
      "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": "Antman EM, Cohen M, Bernink PJLM, et al.",
    "doi": "10.1001/jama.284.7.835",
    "id": "antman-2000",
    "source": "JAMA. 2000;284(7):835-842",
    "title": "The TIMI risk score for unstable angina/non–ST elevation MI: A method for prognostication and therapeutic decision making"
  },
  "formula": "timi_ua_nstemi",
  "formula_expression": "TIMI UA/NSTEMI = age_ge_65 + cad_risk_factors_ge_3 + known_cad + aspirin_last_7d + severe_angina + st_deviation + elevated_markers; each 1 if present; max 7",
  "age_years": 50,
  "max_score": 7,
  "score": 0
}
```

## Errors

- HTTP 400 `invalid_age`: age must be an integer from 18 to 120 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.
- HTTP 402 `payment_required`: Missing or invalid PAYMENT-SIGNATURE; decode the PAYMENT-REQUIRED header
- HTTP 409 `payment_in_progress`: The same authorization nonce is already being settled; retry shortly
- HTTP 429 `rate_limited`: Too many requests from this client
- HTTP 503 `settlement_uncertain`: Settlement is unconfirmed; retry with the same PAYMENT-SIGNATURE
- HTTP 503 `settle_failed`: Settlement failed; retry with the same PAYMENT-SIGNATURE shortly
- HTTP 503 `facilitator_unavailable`: Payment facilitator unavailable
- HTTP 503 `facilitator_misconfigured`: Payment facilitator is not configured
- HTTP 503 `facilitator_unauthorized`: Payment facilitator rejected credentials
- HTTP 503 `ledger_unavailable`: Payment ledger unavailable
- HTTP 503 `payment_unavailable`: Payment processing unavailable

## Related tools

- [TIMI risk score for STEMI](https://magentlab.com/docs/timi-stemi) — Compute the TIMI risk score for ST-elevation myocardial infarction from published bedside factors at presentation.

## Also searched as

- TIMI UA/NSTEMI
- TIMI risk score unstable angina
- Antman TIMI score
- NSTEMI TIMI
- TIMI risk score for UA

## Payment

Required query parameters must be present and valid. 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 EIP-3009 (scheme exact, assetTransferMethod eip3009) with validBefore = now + accepts[0].maxTimeoutSeconds (600 seconds). That window starts when you sign and must cover wallet confirmation plus CDP verify and settle. Magent retries transient facilitator 429/5xx before answering. Do not send upto or batch-settlement payloads; magent does not offer those schemes.
- Retry the same URL with PAYMENT-SIGNATURE (base64 JSON echoing accepted, payload, and extensions when present).
- Success is HTTP 200 JSON plus PAYMENT-RESPONSE. Settlement happens before the tool runs. HTTP 503 settlement_uncertain or settle_failed: retry the same PAYMENT-SIGNATURE. Mint a new 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.

- 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.
- not offered `batch-settlement`: Not offered. Payment-channel vouchers claimed later in batches. Not the same as POST {items} bulk (that is still exact).

Same-path POST {items} is still scheme exact: one EIP-3009 authorization for n times the GET unit. That is not x402 batch-settlement (payment channels / vouchers).

## Guarantees

- Invalid query parameters return HTTP 400 before settlement. You are not charged.
- Settlement finishes before the tool executes (paymentFlow upfront). 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.
