Infection / VTE · LIVE
SVS WIfI threatened limb grades
WIfI
Apply Mills 2014 SVS WIfI grades and return the three independent grades (wound 0-3, ischemia 0-3, foot_infection 0-3) plus a wifi label like W0-I0-fI0.
Markdown: /docs/wifi.md · Canonical: https://magentlab.com/docs/wifi
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Apply Mills 2014 SVS WIfI grades and return the three independent grades (wound 0-3, ischemia 0-3, foot_infection 0-3) plus a wifi label like W0-I0-fI0.
When to use
When an agent already has caller-assigned Mills 2014 wound, ischemia, and foot infection grades for a threatened lower extremity and needs the published WIfI label. magent does not inspect wounds or measure ABI, ankle pressure, or toe pressure.
When not to use
- Not a medical device.
- Not an amputation or revascularization order. This tool does not report clinical stage 1-4 or Delphi amputation-risk or revascularization-benefit tables.
- magent does not inspect wounds. Wound grade is caller-assigned.
- magent does not measure ABI, ankle pressure, or toe pressure. Ischemia grade is caller-assigned; this tool does not compute ischemia from pressures.
- The three grades are independent. This tool does not return a summed WIfI total. Not PEDIS.
Formula
WIfI is three independent Mills 2014 SVS grades, not a summed total: wound 0-3 (0 no ulcer and no gangrene; 1 small shallow distal ulcer without gangrene; 2 deeper ulcer with exposed bone, joint, or tendon, or gangrene limited to digits; 3 extensive deep ulcer or extensive gangrene); ischemia 0-3 as assigned by the caller (0 none; 1 mild; 2 moderate; 3 severe); foot_infection 0-3 (0 none; 1 skin and subcutaneous only; 2 deeper than skin without SIRS; 3 infection with SIRS). Label is W{wound}-I{ischemia}-fI{foot_infection}
Citation
- Authors
- Mills JL, Conte MS, Armstrong DG, et al.
- Source
- J Vasc Surg. 2014;59(1):220-234.e1-2
Worked example
All three grades 0
Given:
foot_infection=0ischemia=0wound=0
- wound 0, ischemia 0, foot_infection 0
- Each axis is the published grade-0 band
- wifi label is W0-I0-fI0; grades are not summed
All three grades 3
Given:
foot_infection=3ischemia=3wound=3
- wound 3, ischemia 3, foot_infection 3
- Each axis is the published grade-3 band
- wifi label is W3-I3-fI3; grades are not summed
Also searched as
- WIfI classification
- SVS WIfI
- Mills WIfI
- wound ischemia foot infection
- threatened limb classification
- WIfI grades
- Society for Vascular Surgery WIfI
- WIfI 2014
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
/api/calc/wifi?wound=0&ischemia=0&foot_infection=0
Full URL: https://api.magentlab.com/api/calc/wifi?wound=0&ischemia=0&foot_infection=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/wifi?wound=0&ischemia=0&foot_infection=0"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
wound |
integer | required | Wound grade 0-3 as assigned by the caller (Mills 2014): 0 no ulcer and no gangrene; 1 small, shallow ulcer(s) on the distal leg or foot without gangrene; 2 deeper ulcer with exposed bone, joint, or tendon, or gangrene limited to digits; 3 extensive deep ulcer involving forefoot and/or midfoot, full-thickness heel ulcer, or extensive gangrene. magent does not inspect wounds. |
ischemia |
integer | required | Ischemia grade 0-3 as assigned by the caller (Mills 2014): 0 none; 1 mild; 2 moderate; 3 severe. magent does not measure ABI, ankle pressure, or toe pressure and does not compute this grade from pressures. |
foot_infection |
integer | required | Foot infection grade 0-3 as assigned by the caller (Mills 2014): 0 no signs of infection; 1 infection involving only skin and subcutaneous tissue; 2 infection deeper than skin (abscess, osteomyelitis, septic arthritis, fasciitis) without SIRS; 3 infection with SIRS. magent does not diagnose infection. |
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": [
{
"foot_infection": "0",
"ischemia": "0",
"wound": "0"
},
{
"foot_infection": "0",
"ischemia": "0",
"wound": "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/wifi",
"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": "Mills JL, Conte MS, Armstrong DG, et al.",
"doi": "10.1016/j.jvs.2013.08.003",
"id": "mills-2014",
"pmid": "24126108",
"source": "J Vasc Surg. 2014;59(1):220-234.e1-2",
"title": "The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI)."
},
"formula": "wifi",
"formula_expression": "WIfI is three independent Mills 2014 SVS grades, not a summed total: wound 0-3 (0 no ulcer and no gangrene; 1 small shallow distal ulcer without gangrene; 2 deeper ulcer with exposed bone, joint, or tendon, or gangrene limited to digits; 3 extensive deep ulcer or extensive gangrene); ischemia 0-3 as assigned by the caller (0 none; 1 mild; 2 moderate; 3 severe); foot_infection 0-3 (0 none; 1 skin and subcutaneous only; 2 deeper than skin without SIRS; 3 infection with SIRS). Label is W{wound}-I{ischemia}-fI{foot_infection}",
"criteria": [
{
"value": 0,
"factor": "wound",
"met": true
},
{
"value": 0,
"factor": "ischemia",
"met": true
},
{
"value": 0,
"factor": "foot_infection",
"met": true
}
],
"wound": 0,
"foot_infection": 0,
"ischemia": 0,
"wifi": "W0-I0-fI0"
},
{
"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": "Mills JL, Conte MS, Armstrong DG, et al.",
"doi": "10.1016/j.jvs.2013.08.003",
"id": "mills-2014",
"pmid": "24126108",
"source": "J Vasc Surg. 2014;59(1):220-234.e1-2",
"title": "The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI)."
},
"formula": "wifi",
"formula_expression": "WIfI is three independent Mills 2014 SVS grades, not a summed total: wound 0-3 (0 no ulcer and no gangrene; 1 small shallow distal ulcer without gangrene; 2 deeper ulcer with exposed bone, joint, or tendon, or gangrene limited to digits; 3 extensive deep ulcer or extensive gangrene); ischemia 0-3 as assigned by the caller (0 none; 1 mild; 2 moderate; 3 severe); foot_infection 0-3 (0 none; 1 skin and subcutaneous only; 2 deeper than skin without SIRS; 3 infection with SIRS). Label is W{wound}-I{ischemia}-fI{foot_infection}",
"criteria": [
{
"value": 0,
"factor": "wound",
"met": true
},
{
"value": 0,
"factor": "ischemia",
"met": true
},
{
"value": 0,
"factor": "foot_infection",
"met": true
}
],
"wound": 0,
"foot_infection": 0,
"ischemia": 0,
"wifi": "W0-I0-fI0"
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | wifi |
formula_expression |
string | Three independent Mills 2014 SVS WIfI grades, not a summed total |
wound |
integer | Caller-assigned wound grade 0-3 |
ischemia |
integer | Caller-assigned ischemia grade 0-3 |
foot_infection |
integer | Caller-assigned foot infection grade 0-3 |
wifi |
string | W{wound}-I{ischemia}-fI{foot_infection} label, for example W0-I0-fI0 |
criteria |
array | Per-axis rows with factor, met, and value for the three WIfI grades |
citation |
object | Mills 2014 J Vasc Surg 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": "Mills JL, Conte MS, Armstrong DG, et al.",
"doi": "10.1016/j.jvs.2013.08.003",
"id": "mills-2014",
"pmid": "24126108",
"source": "J Vasc Surg. 2014;59(1):220-234.e1-2",
"title": "The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI)."
},
"formula": "wifi",
"formula_expression": "WIfI is three independent Mills 2014 SVS grades, not a summed total: wound 0-3 (0 no ulcer and no gangrene; 1 small shallow distal ulcer without gangrene; 2 deeper ulcer with exposed bone, joint, or tendon, or gangrene limited to digits; 3 extensive deep ulcer or extensive gangrene); ischemia 0-3 as assigned by the caller (0 none; 1 mild; 2 moderate; 3 severe); foot_infection 0-3 (0 none; 1 skin and subcutaneous only; 2 deeper than skin without SIRS; 3 infection with SIRS). Label is W{wound}-I{ischemia}-fI{foot_infection}",
"criteria": [
{
"value": 0,
"factor": "wound",
"met": true
},
{
"value": 0,
"factor": "ischemia",
"met": true
},
{
"value": 0,
"factor": "foot_infection",
"met": true
}
],
"wound": 0,
"foot_infection": 0,
"ischemia": 0,
"wifi": "W0-I0-fI0"
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_wifi |
wound, ischemia, and foot_infection must be integers 0-3 (Mills 2014 SVS WIfI caller-assigned grades). 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
- PEDIS — Apply Schaper 2004 IWGDF PEDIS research grades and return the five independent grades (perfusion 1-3, extent 1-3, depth 1-3, infection 1-4, sensation 1-2) plus a pedis label like 1-1-1-1-1.
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.