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Burch-Wartofsky Point Scale (BWPS) Calculator
x402
Burch-Wartofsky Point Scale (BWPS) Calculator is a paid API for AI agents from api.magentlab.com, paid per call via x402, $0.005/call, status unknown (last checked 2026-09-15).
Computes the Burch-Wartofsky Point Scale score for thyroid storm likelihood from caller-supplied vital signs and clinical findings
Price / call$0.005
Success—
StatusUnknown
How this service works
Burch 1993 points: °F (<99→0, 99.0–99.9→5, 100.0–100.9→10, 101.0–101.9→15, 102.0–102.9→20, 103.0–103.9→25, ≥104→30); CNS 0/10/20/30; GI-hepatic 0/10/20; HR (<90→0, 90–109→5, 110–119→10, 120–129→15, 130–139→20, ≥140→25); HF 0/5/10/15; AF 10; precipitant 10. Max 140. <25 unlikely, 25–44 impending, ≥45 highly suggestive. temperature_f or temperature_c, not both. Not a diagnosis or ICU order. magent does not measure temperature or an ECG.
Output
Returns the integer Burch-Wartofsky Point Scale total score (0–140) and the corresponding clinical interpretation category: <25 points = thyroid storm unlikely, 25–44 = impending thyroid storm, ≥45 = highly suggestive of thyroid storm. Individual component subscores may also be returned.
Example use cases
Thyroid storm triage in the ED
“Run a Burch-Wartofsky score for a patient presenting with temperature 104.1°F, heart rate 142 bpm, severe CNS effects (seizure), severe GI dysfunction (jaundice), severe heart failure (pulmonary edema), atrial fibrillation present, and a precipitating event — how likely is thyroid storm?”
ICU monitoring of suspected thyrotoxic crisis
“My ICU patient has a temperature of 39.8°C, heart rate 115 bpm, mild CNS effects (agitation), no GI-hepatic problems, no heart failure, no atrial fibrillation, and no identified precipitant — what does the Burch-Wartofsky score come out to?”
Clinical documentation and scoring for endocrinology consult
“Score a Burch-Wartofsky for a patient with 101.4°F temperature, heart rate 98 bpm, no CNS effects, moderate GI dysfunction, no heart failure, no afib, and no precipitating event so I can include it in the endocrine consult note.”
Technical details
Endpoint
GEThttps://api.magentlab.com/api/calc/burch_wartofskyWhen to prefer
Use this endpoint when you need a standardized, reproducible Burch-Wartofsky Point Scale computation from discrete clinical parameters. Prefer this over manual scoring when building clinical decision-support workflows, documentation tools, or triage agents that need an auditable numeric score. Not a substitute for physician diagnosis; explicitly not an ICU order.
Side effects
- Both temperature_f and temperature_c supplied simultaneously — endpoint requires exactly one
- Temperature value out of valid range (90–110°F or 32.2–43.3°C)
- heart_rate_bpm outside valid range (30–220)
- Missing required enum parameters (cns_effects, gi_hepatic, heart_failure, atrial_fibrillation, precipitating_event)
- Invalid enum value for ordinal clinical fields
- Payment not attached or insufficient (x402 protocol failure at $0.005 USDC)
Input
Schema · Request body
| Field | Type | Description |
|---|---|---|
| inputrequired | object | |
| output | object |
Output
Schema · Response
{
"type": "json",
"example": {
"path": "/api/calc/burch_wartofsky",
"count": 2,
"items": [
{
"score": 0,
"formula": "burch_wartofsky",
"citation": {
"id": "burch-1993",
"doi": "10.1016/S0889-8529(18)30165-8",
"pmid": "8325286",
"title": "Life-threatening thyrotoxicosis. Thyroid storm",
"source": "Endocrinol Metab Clin North Am. 1993;22(2):263-277",
"authors": "Burch HB, Wartofsky L"
},
"bwps_band": "unlikely",
"max_score": 140,
"components": [
{
"value": 98.6,
"factor": "temperature_f",
"points": 0,
"present": false
},
{
"value": "none",
"factor": "cns_effects",
"points": 0,
"present": false
},
{
"value": "none",
"factor": "gi_hepatic",
"points": 0,
"present": false
},
{
"value": 80,
"factor": "heart_rate_bpm",
"points": 0,
"present": false
},
{
"value": "none",
"factor": "heart_failure",
"points": 0,
"present": false
},
{
"value": false,
"factor": "atrial_fibrillation",
"points": 0,
"present": false
},
{
"value": false,
"factor": "precipitating_event",
"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.",
"gi_hepatic": "none",
"cns_effects": "none",
"heart_failure": "none",
"temperature_f": 98.6,
"heart_rate_bpm": 80,
"formula_expression": "BWPS = temp_F(<99.0→0, 99.0–99.9→5, 100.0–100.9→10, 101.0–101.9→15, 102.0–102.9→20, 103.0–103.9→25, ≥104.0→30) + CNS(none→0, mild→10, moderate→20, severe→30) + GI-hepatic(none→0, moderate→10, severe→20) + HR(<90→0, 90–109→5, 110–119→10, 120–129→15, 130–139→20, ≥140→25) + HF(none→0, mild→5, moderate→10, severe→15) + 10*AF + 10*precipitant; Burch 1993; max 140; <25 unlikely, 25–44 impending, ≥45 highly_suggestive",
"atrial_fibrillation": false,
"precipitating_event": false
},
{
"score": 0,
"formula": "burch_wartofsky",
"citation": {
"id": "burch-1993",
"doi": "10.1016/S0889-8529(18)30165-8",
"pmid": "8325286",
"title": "Life-threatening thyrotoxicosis. Thyroid storm",
"source": "Endocrinol Metab Clin North Am. 1993;22(2):263-277",
"authors": "Burch HB, Wartofsky L"
},
"bwps_band": "unlikely",
"max_score": 140,
"components": [
{
"value": 98.6,
"factor": "temperature_f",
"points": 0,
"present": false
},
{
"value": "none",
"factor": "cns_effects",
"points": 0,
"present": false
},
{
"value": "none",
"factor": "gi_hepatic",
"points": 0,
"present": false
},
{
"value": 80,
"factor": "heart_rate_bpm",
"points": 0,
"present": false
},
{
"value": "none",
"factor": "heart_failure",
"points": 0,
"present": false
},
{
"value": false,
"factor": "atrial_fibrillation",
"points": 0,
"present": false
},
{
"value": false,
"factor": "precipitating_event",
"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.",
"gi_hepatic": "none",
"cns_effects": "none",
"heart_failure": "none",
"temperature_f": 98.6,
"heart_rate_bpm": 80,
"formula_expression": "BWPS = temp_F(<99.0→0, 99.0–99.9→5, 100.0–100.9→10, 101.0–101.9→15, 102.0–102.9→20, 103.0–103.9→25, ≥104.0→30) + CNS(none→0, mild→10, moderate→20, severe→30) + GI-hepatic(none→0, moderate→10, severe→20) + HR(<90→0, 90–109→5, 110–119→10, 120–129→15, 130–139→20, ≥140→25) + HF(none→0, mild→5, moderate→10, severe→15) + 10*AF + 10*precipitant; Burch 1993; max 140; <25 unlikely, 25–44 impending, ≥45 highly_suggestive",
"atrial_fibrillation": false,
"precipitating_event": false
}
]
}
}Tags
x402
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