{
  "x402Version": 2,
  "id": 38994,
  "slug": "38994",
  "resource": "https://api.magentlab.com/api/calc/orbi",
  "description": "Auffret 2018 ORBI integer score for in-hospital cardiogenic shock after STEMI treated by primary PCI. Rounded adjusted-OR points (max 36) from age >70, prior stroke/TIA, cardiac arrest, anterior STEMI, FMC-to-PPCI >90 min, Killip I-III, heart rate >90, SBP <125 with pulse pressure <45, glucose >10 mmol/L, left-main culprit, and post-PPCI TIMI <3. Derivation-cohort class I-IV percents. Not a medical device, not a cath-lab or shock-treatment order, and not the ORBIT bleeding score.",
  "type": "http",
  "serviceName": "magent",
  "resourceType": "Agent Service",
  "accepts": [
    {
      "scheme": "exact",
      "network": "eip155:8453",
      "payTo": "0x836Be278f1739fB4308091cD1852F7971Bc19Ee2",
      "asset": "0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913",
      "amount": "5000",
      "amountUsd": 0.005,
      "maxTimeoutSeconds": 600
    }
  ],
  "outputSchema": {
    "properties": {
      "example": {
        "type": "object"
      },
      "type": {
        "type": "string"
      }
    },
    "required": [
      "type"
    ],
    "type": "object"
  },
  "extensions": {
    "bazaar": {
      "info": {
        "iconUrl": "https://api.magentlab.com/favicon.ico",
        "input": {
          "body": {
            "items": [
              {
                "age_years": 60,
                "anterior_stemi": false,
                "cardiac_arrest_on_admission": false,
                "fmc_to_ppci_gt_90_min": false,
                "glucose_gt_10_mmol_l": false,
                "heart_rate": 70,
                "killip_class": "i",
                "left_main_culprit": false,
                "post_ppci_timi_lt_3": false,
                "prior_stroke_tia": false,
                "sbp_lt_125_and_pp_lt_45": false
              },
              {
                "age_years": 60,
                "anterior_stemi": false,
                "cardiac_arrest_on_admission": false,
                "fmc_to_ppci_gt_90_min": false,
                "glucose_gt_10_mmol_l": false,
                "heart_rate": 70,
                "killip_class": "i",
                "left_main_culprit": false,
                "post_ppci_timi_lt_3": false,
                "prior_stroke_tia": false,
                "sbp_lt_125_and_pp_lt_45": false
              }
            ]
          },
          "method": "POST",
          "type": "http"
        },
        "output": {
          "example": {
            "count": 2,
            "items": [
              {
                "age_years": 60,
                "citation": {
                  "authors": "Auffret V, Cottin Y, Leurent G, et al.",
                  "doi": "10.1093/eurheartj/ehy127",
                  "id": "auffret-2018",
                  "pmid": "29554243",
                  "source": "Eur Heart J. 2018;39(22):2090-2102",
                  "title": "Predicting the development of in-hospital cardiogenic shock in patients with ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention: the ORBI risk score"
                },
                "components": [
                  {
                    "factor": "age_years",
                    "points": 0,
                    "present": false,
                    "value": 60
                  },
                  {
                    "factor": "killip_class",
                    "points": 0,
                    "present": false,
                    "value": "i"
                  },
                  {
                    "factor": "heart_rate",
                    "points": 0,
                    "present": false,
                    "value": 70
                  },
                  {
                    "factor": "prior_stroke_tia",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "cardiac_arrest_on_admission",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "anterior_stemi",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "fmc_to_ppci_gt_90_min",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "sbp_lt_125_and_pp_lt_45",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "glucose_gt_10_mmol_l",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "left_main_culprit",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "post_ppci_timi_lt_3",
                    "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.",
                "formula": "orbi",
                "formula_expression": "ORBI = age_years>70 (2) + prior_stroke_tia (2) + cardiac_arrest_on_admission (3) + anterior_stemi (1) + fmc_to_ppci_gt_90_min (2) + killip_class (i:0, ii:2, iii:6; iv rejected) + heart_rate>90 (3) + sbp_lt_125_and_pp_lt_45 (4) + glucose_gt_10_mmol_l (3) + left_main_culprit (5) + post_ppci_timi_lt_3 (5); Auffret 2018 rounded adjusted ORs; max 36; derivation in-hospital CS class I 0-7 1.3%, II 8-10 6.6%, III 11-12 11.7%, IV >=13 31.8%",
                "heart_rate": 70,
                "in_hospital_cs_percent": 1.3,
                "killip_class": "i",
                "max_score": 36,
                "orbi_class": "I",
                "score": 0
              },
              {
                "age_years": 60,
                "citation": {
                  "authors": "Auffret V, Cottin Y, Leurent G, et al.",
                  "doi": "10.1093/eurheartj/ehy127",
                  "id": "auffret-2018",
                  "pmid": "29554243",
                  "source": "Eur Heart J. 2018;39(22):2090-2102",
                  "title": "Predicting the development of in-hospital cardiogenic shock in patients with ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention: the ORBI risk score"
                },
                "components": [
                  {
                    "factor": "age_years",
                    "points": 0,
                    "present": false,
                    "value": 60
                  },
                  {
                    "factor": "killip_class",
                    "points": 0,
                    "present": false,
                    "value": "i"
                  },
                  {
                    "factor": "heart_rate",
                    "points": 0,
                    "present": false,
                    "value": 70
                  },
                  {
                    "factor": "prior_stroke_tia",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "cardiac_arrest_on_admission",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "anterior_stemi",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "fmc_to_ppci_gt_90_min",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "sbp_lt_125_and_pp_lt_45",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "glucose_gt_10_mmol_l",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "left_main_culprit",
                    "points": 0,
                    "present": false
                  },
                  {
                    "factor": "post_ppci_timi_lt_3",
                    "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.",
                "formula": "orbi",
                "formula_expression": "ORBI = age_years>70 (2) + prior_stroke_tia (2) + cardiac_arrest_on_admission (3) + anterior_stemi (1) + fmc_to_ppci_gt_90_min (2) + killip_class (i:0, ii:2, iii:6; iv rejected) + heart_rate>90 (3) + sbp_lt_125_and_pp_lt_45 (4) + glucose_gt_10_mmol_l (3) + left_main_culprit (5) + post_ppci_timi_lt_3 (5); Auffret 2018 rounded adjusted ORs; max 36; derivation in-hospital CS class I 0-7 1.3%, II 8-10 6.6%, III 11-12 11.7%, IV >=13 31.8%",
                "heart_rate": 70,
                "in_hospital_cs_percent": 1.3,
                "killip_class": "i",
                "max_score": 36,
                "orbi_class": "I",
                "score": 0
              }
            ],
            "path": "/api/calc/orbi"
          },
          "type": "json"
        }
      },
      "schema": {
        "$schema": "https://json-schema.org/draft/2020-12/schema",
        "properties": {
          "input": {
            "additionalProperties": false,
            "properties": {
              "body": {
                "additionalProperties": false,
                "properties": {
                  "items": {
                    "items": {
                      "properties": {
                        "age_years": {
                          "description": "Age in years (18-120). Auffret 2018: older than 70 scores 2; 70 or younger scores 0.",
                          "type": "integer"
                        },
                        "anterior_stemi": {
                          "description": "Anterior ST-elevation myocardial infarction (Auffret 2018: 1 point). Caller-assigned. magent does not read the ECG.",
                          "type": "boolean"
                        },
                        "cardiac_arrest_on_admission": {
                          "description": "Cardiac arrest on admission (Auffret 2018: 3 points). true or false.",
                          "type": "boolean"
                        },
                        "fmc_to_ppci_gt_90_min": {
                          "description": "First medical contact to primary PCI greater than 90 minutes (Auffret 2018: 2 points). true or false. magent does not compute timestamps.",
                          "type": "boolean"
                        },
                        "glucose_gt_10_mmol_l": {
                          "description": "Admission glucose >10 mmol/L (Auffret 2018: 3 points). true or false. magent does not convert units.",
                          "type": "boolean"
                        },
                        "heart_rate": {
                          "description": "Heart rate in beats per minute (integer 30-220). Auffret 2018: greater than 90 scores 3.",
                          "type": "integer"
                        },
                        "killip_class": {
                          "description": "Caller-assigned Killip class after STEMI (Auffret 2018): i (0), ii (2), or iii (6). Killip IV is rejected because the derivation excluded cardiogenic shock on admission. magent does not examine the patient.",
                          "enum": [
                            "i",
                            "ii",
                            "iii"
                          ],
                          "type": "string"
                        },
                        "left_main_culprit": {
                          "description": "Whether the culprit lesion is the left main coronary artery (Auffret 2018: 5 points). Caller-assigned. magent does not read the angiogram.",
                          "type": "boolean"
                        },
                        "post_ppci_timi_lt_3": {
                          "description": "Whether post-primary-PCI TIMI flow is <3 (Auffret 2018: 5 points). Caller-assigned. magent does not assign TIMI flow.",
                          "type": "boolean"
                        },
                        "prior_stroke_tia": {
                          "description": "Prior stroke or TIA (Auffret 2018: 2 points). true or false.",
                          "type": "boolean"
                        },
                        "sbp_lt_125_and_pp_lt_45": {
                          "description": "Whether systolic BP is <125 mm Hg and pulse pressure is <45 mm Hg together (Auffret 2018: 4 points). Single caller-assigned boolean; magent does not take separate SBP or pulse-pressure numbers.",
                          "type": "boolean"
                        }
                      },
                      "required": [
                        "age_years",
                        "prior_stroke_tia",
                        "cardiac_arrest_on_admission",
                        "anterior_stemi",
                        "fmc_to_ppci_gt_90_min",
                        "killip_class",
                        "heart_rate",
                        "sbp_lt_125_and_pp_lt_45",
                        "glucose_gt_10_mmol_l",
                        "left_main_culprit",
                        "post_ppci_timi_lt_3"
                      ],
                      "type": "object"
                    },
                    "maxItems": 25,
                    "minItems": 1,
                    "type": "array"
                  }
                },
                "required": [
                  "items"
                ],
                "type": "object"
              },
              "headers": {
                "additionalProperties": {
                  "type": "string"
                },
                "type": "object"
              },
              "method": {
                "const": "POST",
                "type": "string"
              },
              "type": {
                "const": "http",
                "type": "string"
              }
            },
            "required": [
              "type",
              "method"
            ],
            "type": "object"
          },
          "output": {
            "properties": {
              "example": {
                "type": "object"
              },
              "type": {
                "type": "string"
              }
            },
            "required": [
              "type"
            ],
            "type": "object"
          }
        },
        "required": [
          "input"
        ],
        "type": "object"
      }
    }
  },
  "tags": [
    "orbi",
    "stemi",
    "acs",
    "shock",
    "calculator",
    "bazaar"
  ],
  "sourceHost": "api.magentlab.com",
  "lastUpdated": "2026-10-13T10:06:15.683Z",
  "quality": {
    "calls30d": 5,
    "uniquePayers30d": 2,
    "lastCalledAt": "2026-10-13T10:06:15.506Z"
  },
  "metadata": {
    "serviceName": "magent",
    "extensions": {
      "bazaar": {
        "info": {
          "iconUrl": "https://api.magentlab.com/favicon.ico",
          "input": {
            "body": {
              "items": [
                {
                  "age_years": 60,
                  "anterior_stemi": false,
                  "cardiac_arrest_on_admission": false,
                  "fmc_to_ppci_gt_90_min": false,
                  "glucose_gt_10_mmol_l": false,
                  "heart_rate": 70,
                  "killip_class": "i",
                  "left_main_culprit": false,
                  "post_ppci_timi_lt_3": false,
                  "prior_stroke_tia": false,
                  "sbp_lt_125_and_pp_lt_45": false
                },
                {
                  "age_years": 60,
                  "anterior_stemi": false,
                  "cardiac_arrest_on_admission": false,
                  "fmc_to_ppci_gt_90_min": false,
                  "glucose_gt_10_mmol_l": false,
                  "heart_rate": 70,
                  "killip_class": "i",
                  "left_main_culprit": false,
                  "post_ppci_timi_lt_3": false,
                  "prior_stroke_tia": false,
                  "sbp_lt_125_and_pp_lt_45": false
                }
              ]
            },
            "method": "POST",
            "type": "http"
          },
          "output": {
            "example": {
              "count": 2,
              "items": [
                {
                  "age_years": 60,
                  "citation": {
                    "authors": "Auffret V, Cottin Y, Leurent G, et al.",
                    "doi": "10.1093/eurheartj/ehy127",
                    "id": "auffret-2018",
                    "pmid": "29554243",
                    "source": "Eur Heart J. 2018;39(22):2090-2102",
                    "title": "Predicting the development of in-hospital cardiogenic shock in patients with ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention: the ORBI risk score"
                  },
                  "components": [
                    {
                      "factor": "age_years",
                      "points": 0,
                      "present": false,
                      "value": 60
                    },
                    {
                      "factor": "killip_class",
                      "points": 0,
                      "present": false,
                      "value": "i"
                    },
                    {
                      "factor": "heart_rate",
                      "points": 0,
                      "present": false,
                      "value": 70
                    },
                    {
                      "factor": "prior_stroke_tia",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "cardiac_arrest_on_admission",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "anterior_stemi",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "fmc_to_ppci_gt_90_min",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "sbp_lt_125_and_pp_lt_45",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "glucose_gt_10_mmol_l",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "left_main_culprit",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "post_ppci_timi_lt_3",
                      "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.",
                  "formula": "orbi",
                  "formula_expression": "ORBI = age_years>70 (2) + prior_stroke_tia (2) + cardiac_arrest_on_admission (3) + anterior_stemi (1) + fmc_to_ppci_gt_90_min (2) + killip_class (i:0, ii:2, iii:6; iv rejected) + heart_rate>90 (3) + sbp_lt_125_and_pp_lt_45 (4) + glucose_gt_10_mmol_l (3) + left_main_culprit (5) + post_ppci_timi_lt_3 (5); Auffret 2018 rounded adjusted ORs; max 36; derivation in-hospital CS class I 0-7 1.3%, II 8-10 6.6%, III 11-12 11.7%, IV >=13 31.8%",
                  "heart_rate": 70,
                  "in_hospital_cs_percent": 1.3,
                  "killip_class": "i",
                  "max_score": 36,
                  "orbi_class": "I",
                  "score": 0
                },
                {
                  "age_years": 60,
                  "citation": {
                    "authors": "Auffret V, Cottin Y, Leurent G, et al.",
                    "doi": "10.1093/eurheartj/ehy127",
                    "id": "auffret-2018",
                    "pmid": "29554243",
                    "source": "Eur Heart J. 2018;39(22):2090-2102",
                    "title": "Predicting the development of in-hospital cardiogenic shock in patients with ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention: the ORBI risk score"
                  },
                  "components": [
                    {
                      "factor": "age_years",
                      "points": 0,
                      "present": false,
                      "value": 60
                    },
                    {
                      "factor": "killip_class",
                      "points": 0,
                      "present": false,
                      "value": "i"
                    },
                    {
                      "factor": "heart_rate",
                      "points": 0,
                      "present": false,
                      "value": 70
                    },
                    {
                      "factor": "prior_stroke_tia",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "cardiac_arrest_on_admission",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "anterior_stemi",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "fmc_to_ppci_gt_90_min",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "sbp_lt_125_and_pp_lt_45",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "glucose_gt_10_mmol_l",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "left_main_culprit",
                      "points": 0,
                      "present": false
                    },
                    {
                      "factor": "post_ppci_timi_lt_3",
                      "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.",
                  "formula": "orbi",
                  "formula_expression": "ORBI = age_years>70 (2) + prior_stroke_tia (2) + cardiac_arrest_on_admission (3) + anterior_stemi (1) + fmc_to_ppci_gt_90_min (2) + killip_class (i:0, ii:2, iii:6; iv rejected) + heart_rate>90 (3) + sbp_lt_125_and_pp_lt_45 (4) + glucose_gt_10_mmol_l (3) + left_main_culprit (5) + post_ppci_timi_lt_3 (5); Auffret 2018 rounded adjusted ORs; max 36; derivation in-hospital CS class I 0-7 1.3%, II 8-10 6.6%, III 11-12 11.7%, IV >=13 31.8%",
                  "heart_rate": 70,
                  "in_hospital_cs_percent": 1.3,
                  "killip_class": "i",
                  "max_score": 36,
                  "orbi_class": "I",
                  "score": 0
                }
              ],
              "path": "/api/calc/orbi"
            },
            "type": "json"
          }
        },
        "schema": {
          "$schema": "https://json-schema.org/draft/2020-12/schema",
          "properties": {
            "input": {
              "additionalProperties": false,
              "properties": {
                "body": {
                  "additionalProperties": false,
                  "properties": {
                    "items": {
                      "items": {
                        "properties": {
                          "age_years": {
                            "description": "Age in years (18-120). Auffret 2018: older than 70 scores 2; 70 or younger scores 0.",
                            "type": "integer"
                          },
                          "anterior_stemi": {
                            "description": "Anterior ST-elevation myocardial infarction (Auffret 2018: 1 point). Caller-assigned. magent does not read the ECG.",
                            "type": "boolean"
                          },
                          "cardiac_arrest_on_admission": {
                            "description": "Cardiac arrest on admission (Auffret 2018: 3 points). true or false.",
                            "type": "boolean"
                          },
                          "fmc_to_ppci_gt_90_min": {
                            "description": "First medical contact to primary PCI greater than 90 minutes (Auffret 2018: 2 points). true or false. magent does not compute timestamps.",
                            "type": "boolean"
                          },
                          "glucose_gt_10_mmol_l": {
                            "description": "Admission glucose >10 mmol/L (Auffret 2018: 3 points). true or false. magent does not convert units.",
                            "type": "boolean"
                          },
                          "heart_rate": {
                            "description": "Heart rate in beats per minute (integer 30-220). Auffret 2018: greater than 90 scores 3.",
                            "type": "integer"
                          },
                          "killip_class": {
                            "description": "Caller-assigned Killip class after STEMI (Auffret 2018): i (0), ii (2), or iii (6). Killip IV is rejected because the derivation excluded cardiogenic shock on admission. magent does not examine the patient.",
                            "enum": [
                              "i",
                              "ii",
                              "iii"
                            ],
                            "type": "string"
                          },
                          "left_main_culprit": {
                            "description": "Whether the culprit lesion is the left main coronary artery (Auffret 2018: 5 points). Caller-assigned. magent does not read the angiogram.",
                            "type": "boolean"
                          },
                          "post_ppci_timi_lt_3": {
                            "description": "Whether post-primary-PCI TIMI flow is <3 (Auffret 2018: 5 points). Caller-assigned. magent does not assign TIMI flow.",
                            "type": "boolean"
                          },
                          "prior_stroke_tia": {
                            "description": "Prior stroke or TIA (Auffret 2018: 2 points). true or false.",
                            "type": "boolean"
                          },
                          "sbp_lt_125_and_pp_lt_45": {
                            "description": "Whether systolic BP is <125 mm Hg and pulse pressure is <45 mm Hg together (Auffret 2018: 4 points). Single caller-assigned boolean; magent does not take separate SBP or pulse-pressure numbers.",
                            "type": "boolean"
                          }
                        },
                        "required": [
                          "age_years",
                          "prior_stroke_tia",
                          "cardiac_arrest_on_admission",
                          "anterior_stemi",
                          "fmc_to_ppci_gt_90_min",
                          "killip_class",
                          "heart_rate",
                          "sbp_lt_125_and_pp_lt_45",
                          "glucose_gt_10_mmol_l",
                          "left_main_culprit",
                          "post_ppci_timi_lt_3"
                        ],
                        "type": "object"
                      },
                      "maxItems": 25,
                      "minItems": 1,
                      "type": "array"
                    }
                  },
                  "required": [
                    "items"
                  ],
                  "type": "object"
                },
                "headers": {
                  "additionalProperties": {
                    "type": "string"
                  },
                  "type": "object"
                },
                "method": {
                  "const": "POST",
                  "type": "string"
                },
                "type": {
                  "const": "http",
                  "type": "string"
                }
              },
              "required": [
                "type",
                "method"
              ],
              "type": "object"
            },
            "output": {
              "properties": {
                "example": {
                  "type": "object"
                },
                "type": {
                  "type": "string"
                }
              },
              "required": [
                "type"
              ],
              "type": "object"
            }
          },
          "required": [
            "input"
          ],
          "type": "object"
        }
      }
    }
  },
  "liveness": {
    "reliability": null
  },
  "verified": false,
  "featured": false,
  "provider": {
    "host": "api.magentlab.com",
    "manifest_name": "api.magentlab.com",
    "source": "cdp-mirror",
    "source_manifest_url": "https://api.cdp.coinbase.com/platform/v2/x402/discovery/resources",
    "submitted_at": "2026-10-14T01:15:01.050Z"
  },
  "exampleResponse": {
    "example": {},
    "type": "string"
  }
}