{ "x402Version": 2, "id": 39505, "slug": "39505", "resource": "https://api.magentlab.com/api/calc/mrc_icu", "description": "Gwynn 2019 MRC-ICU: 39 printed ICU medication and device items (1, 2, or 3 points). Multiplier classes are weight × the caller-assigned count of qualifying medications. Non-multiplier items add the printed weight when present. Output is the integer sum plus components. 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Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.", "formula": "mrc_icu", "formula_expression": "MRC-ICU (Gwynn 2019) = sum of 39 printed item weights. Multiplier classes (printed ×) are weight × caller-assigned count of qualifying medications (0-20): aminoglycosides 3, antiarrhythmics 1, anticoagulants 1, anticonvulsants 3, azole_antifungals 2, blood_products 2, chemotherapy 3, ganciclovir_valganciclovir 1, hyperosmolar_fluids 1, immunosuppressants 3, prostacyclins 2, therapeutic_heparins 2, continuous_infusions 1, opioids_sedatives 1, continuous_opioids_sedatives 2, antimicrobials 1, restricted_antimicrobials 2. Flags add the printed weight when present: amphotericin_b 1, argatroban 2, clozapine 3, digoxin 3, lidocaine_infusion 2, lithium 3, theophylline 3, vancomycin_iv 3, warfarin 3, neuromuscular_blockade 2, tpn_non_pharmacist 1, tpn_clinical_pharmacist 3, thromboembolic_prophylaxis 1, stress_ulcer_prophylaxis 1, glycemic_control 1, bowel_regimen 1, chlorhexidine 1, dialysis 2, ecmo 2, iabp 1, lvad 1, mechanical_ventilation 2", "score": 0 }, { "citation": { "authors": "Gwynn ME, Poisson MO, Waller JL, Newsome AS", "doi": "10.1093/ajhp/zxy054", "id": "gwynn-2019", "pmid": "31067298", "source": "Am J Health Syst Pharm. 2019;76(Supplement_2):S34-S40", "title": "Development and validation of a medication regimen complexity scoring tool for critically ill patients" }, "components": [ { "factor": "aminoglycosides", "points": 0, "present": false, "value": 0 }, { "factor": "amphotericin_b", "points": 0, "present": false }, { "factor": "antiarrhythmics", "points": 0, "present": false, "value": 0 }, { "factor": "anticoagulants", "points": 0, "present": false, "value": 0 }, { "factor": "anticonvulsants", "points": 0, "present": false, "value": 0 }, { "factor": "argatroban", "points": 0, "present": false }, { "factor": "azole_antifungals", "points": 0, "present": false, "value": 0 }, { "factor": "blood_products", "points": 0, "present": false, "value": 0 }, { "factor": "chemotherapy", "points": 0, "present": false, "value": 0 }, { "factor": "clozapine", "points": 0, "present": false }, { "factor": "digoxin", "points": 0, "present": false }, { "factor": "ganciclovir_valganciclovir", "points": 0, "present": false, "value": 0 }, { "factor": "hyperosmolar_fluids", "points": 0, "present": false, "value": 0 }, { "factor": "immunosuppressants", "points": 0, "present": false, "value": 0 }, { "factor": "lidocaine_infusion", "points": 0, "present": false }, { "factor": "lithium", "points": 0, "present": false }, { "factor": "prostacyclins", "points": 0, "present": false, "value": 0 }, { "factor": "theophylline", "points": 0, "present": false }, { "factor": "therapeutic_heparins", "points": 0, "present": false, "value": 0 }, { "factor": "vancomycin_iv", "points": 0, "present": false }, { "factor": "warfarin", "points": 0, "present": false }, { "factor": "neuromuscular_blockade", "points": 0, "present": false }, { "factor": "continuous_infusions", "points": 0, "present": false, "value": 0 }, { "factor": "tpn_non_pharmacist", "points": 0, "present": false }, { "factor": "tpn_clinical_pharmacist", "points": 0, "present": false }, { "factor": "thromboembolic_prophylaxis", "points": 0, "present": false }, { "factor": "stress_ulcer_prophylaxis", "points": 0, "present": false }, { "factor": "glycemic_control", "points": 0, "present": false }, { "factor": "bowel_regimen", "points": 0, "present": false }, { "factor": "chlorhexidine", "points": 0, "present": false }, { "factor": "opioids_sedatives", "points": 0, "present": false, "value": 0 }, { "factor": "continuous_opioids_sedatives", "points": 0, "present": false, "value": 0 }, { "factor": "antimicrobials", "points": 0, "present": false, "value": 0 }, { "factor": "restricted_antimicrobials", "points": 0, "present": false, "value": 0 }, { "factor": "dialysis", "points": 0, "present": false }, { "factor": "ecmo", "points": 0, "present": false }, { "factor": "iabp", "points": 0, "present": false }, { "factor": "lvad", "points": 0, "present": false }, { "factor": "mechanical_ventilation", "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": "mrc_icu", "formula_expression": "MRC-ICU (Gwynn 2019) = sum of 39 printed item weights. Multiplier classes (printed ×) are weight × caller-assigned count of qualifying medications (0-20): aminoglycosides 3, antiarrhythmics 1, anticoagulants 1, anticonvulsants 3, azole_antifungals 2, blood_products 2, chemotherapy 3, ganciclovir_valganciclovir 1, hyperosmolar_fluids 1, immunosuppressants 3, prostacyclins 2, therapeutic_heparins 2, continuous_infusions 1, opioids_sedatives 1, continuous_opioids_sedatives 2, antimicrobials 1, restricted_antimicrobials 2. Flags add the printed weight when present: amphotericin_b 1, argatroban 2, clozapine 3, digoxin 3, lidocaine_infusion 2, lithium 3, theophylline 3, vancomycin_iv 3, warfarin 3, neuromuscular_blockade 2, tpn_non_pharmacist 1, tpn_clinical_pharmacist 3, thromboembolic_prophylaxis 1, stress_ulcer_prophylaxis 1, glycemic_control 1, bowel_regimen 1, chlorhexidine 1, dialysis 2, ecmo 2, iabp 1, lvad 1, mechanical_ventilation 2", "score": 0 } ], "path": "/api/calc/mrc_icu" }, "type": "json" } }, "schema": { "$schema": "https://json-schema.org/draft/2020-12/schema", "properties": { "input": { "additionalProperties": false, "properties": { "body": { "additionalProperties": false, "properties": { "items": { "items": { "properties": { "aminoglycosides": { "description": "Count of aminoglycosides (amikacin, gentamicin, tobramycin) as assigned by the caller (integer 0-20). 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Gwynn 2019 printed 3×.", "type": "integer" }, "lidocaine_infusion": { "description": "Lidocaine continuous infusion present as assigned by the caller (Gwynn 2019). true adds 2 points.", "type": "boolean" }, "lithium": { "description": "Lithium present as assigned by the caller (Gwynn 2019). true adds 3 points.", "type": "boolean" }, "lvad": { "description": "Left ventricular assist device (LVAD) present as assigned by the caller (Gwynn 2019). true adds 1 point.", "type": "boolean" }, "mechanical_ventilation": { "description": "Mechanical ventilation present as assigned by the caller (Gwynn 2019). true adds 2 points.", "type": "boolean" }, "neuromuscular_blockade": { "description": "Neuromuscular blockade present as assigned by the caller (Gwynn 2019). true adds 2 points.", "type": "boolean" }, "opioids_sedatives": { "description": "Count of scheduled or PRN opioids and sedatives as assigned by the caller (integer 0-20). 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