# Rogers 2011 Aortic Dissection Detection Risk Score (ADD-RS)

> Rogers 2011 Aortic Dissection Detection Risk Score (ADD-RS) 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).

Calculates the Rogers 2011 ADD-RS for aortic dissection risk stratification by summing one point per high-risk category (conditions, pain features, exam features) with a maximum score of 3.

## Facts

- Endpoint: GET https://api.magentlab.com/api/calc/add_rs
- Price: $0.005/call
- Payment: x402
- Status: unknown
- Last checked: 2026-09-15
- Activations on Zero: 0
- Tags: x402
- Canonical page: https://www.zero.xyz/c/rogers-2011-aortic-dissection-detection-risk-score-add-rs-8921fdbe
- Structured record (JSON): https://api.zero.xyz/v1/capabilities/cap_sdaRHiIJb9HXEjn-UxJVV

Status and success rate cover calls made through Zero and Zero's own probes. Third-party monitors may report differently.

## How to call it through Zero

Zero handles the 402 payment challenge and records the run. With the Zero CLI installed (`npm i -g @zeroxyz/cli`):

```sh
zero fetch --capability rogers-2011-aortic-dissection-detection-risk-score-add-rs-8921fdbe
```

Example prompt: Score this patient for aortic dissection using the Rogers ADD-RS: they have known Marfan syndrome and a family history of aortic disease, the pain was sudden and severe with a ripping quality, and on exam they have a pulse deficit and new aortic insufficiency murmur — no hypotension, no recent aortic manipulation, no known thoracic aneurysm or aortic valve disease, no focal neuro deficit.

## When to prefer this

Use this endpoint when you need a fast, deterministic calculation of the Rogers 2011 ADD-RS for aortic dissection risk stratification in an emergency or clinical decision-support context. Prefer it over manual scoring to avoid arithmetic errors and to get structured output with risk banding. Not a substitute for the ADvISED D-dimer rule-out protocol or clinical imaging decisions.

## Known failure modes

- Missing required boolean query parameters returns a validation error
- Non-boolean values for flag fields cause a 400 error
- Payment failure (x402) if USDC not provided or insufficient
- Network timeout if the API is temporarily unavailable

## How this service works

Rogers 2011 aortic dissection detection risk score (ADD-RS). One point per high-risk category with any marker (conditions, pain features, exam features); two markers in the same category still add only 1; max 3. Bands 0 / 1 / 2-3. Deterministic published score with citation. Not an imaging order, not ADvISED D-dimer rule-out; score 0 does not exclude dissection.

## Output

Returns the computed ADD-RS integer score (0–3), the corresponding risk band (0, 1, or 2–3), a breakdown of points assigned per clinical category (conditions, pain features, exam features), and a citation to Rogers 2011. Score 0 does not exclude dissection; the result is a published deterministic clinical score, not an imaging order or D-dimer rule-out.

## Request schema (JSON Schema)

```json
{
 "type": "object",
 "$schema": "https://json-schema.org/draft/2020-12/schema",
 "required": [
  "input"
 ],
 "properties": {
  "input": {
   "type": "object",
   "required": [
    "type",
    "method"
   ],
   "properties": {
    "type": {
     "type": "string",
     "const": "http"
    },
    "method": {
     "enum": [
      "GET",
      "HEAD",
      "DELETE"
     ],
     "type": "string"
    },
    "headers": {
     "type": "object",
     "additionalProperties": {
      "type": "string"
     }
    },
    "queryParams": {
     "type": "object",
     "required": [
      "marfan_or_connective_tissue",
      "family_aortic_disease",
      "known_aortic_valve_disease",
      "recent_aortic_manipulation",
      "known_thoracic_aneurysm",
      "pain_sudden",
      "pain_severe",
      "pain_ripping_or_tearing",
      "pulse_deficit_or_sbp_differential",
      "focal_neuro_deficit_with_pain",
      "new_ai_murmur_with_pain",
      "hypotension_or_shock"
     ],
     "properties": {
      "pain_severe": {
       "type": "boolean",
       "description": "Chest, back, or abdominal pain of severe intensity (Rogers 2011 high-risk pain feature). true or false."
      },
      "pain_sudden": {
       "type": "boolean",
       "description": "Chest, back, or abdominal pain of abrupt onset (Rogers 2011 high-risk pain feature). true or false."
      },
      "hypotension_or_shock": {
       "type": "boolean",
       "description": "Hypotension or shock state (Rogers 2011 high-risk exam feature). true or false."
      },
      "family_aortic_disease": {
       "type": "boolean",
       "description": "Family history of aortic disease (Rogers 2011 high-risk condition). true or false."
      },
      "known_thoracic_aneurysm": {
       "type": "boolean",
       "description": "Known thoracic aortic aneurysm (Rogers 2011 high-risk condition). true or false."
      },
      "new_ai_murmur_with_pain": {
       "type": "boolean",
       "description": "New murmur of aortic insufficiency in conjunction with pain (Rogers 2011 high-risk exam feature). true or false. Caller-assigned; magent does not auscultate."
      },
      "pain_ripping_or_tearing": {
       "type": "boolean",
       "description": "Chest, back, or abdominal pain described as ripping or tearing (Rogers 2011 high-risk pain feature). true or false."
      },
      "known_aortic_valve_disease": {
       "type": "boolean",
       "description": "Known aortic valve disease (Rogers 2011 high-risk condition). true 
… (truncated)
```

## Response schema (JSON Schema)

```json
{
 "type": "json",
 "example": {
  "path": "/api/calc/add_rs",
  "count": 2,
  "items": [
   {
    "score": 0,
    "formula": "add_rs",
    "citation": {
     "id": "rogers-2011",
     "doi": "10.1161/CIRCULATIONAHA.110.988568",
     "pmid": "21555704",
     "title": "Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation: results from the international registry of acute aortic dissection",
     "source": "Circulation. 2011;123(20):2213-2218",
     "authors": "Rogers AM, Hermann LK, Booher AM, et al."
    },
    "max_score": 3,
    "components": [
     {
      "factor": "high_risk_conditions",
      "points": 0,
      "present": false
     },
     {
      "factor": "high_risk_pain",
      "points": 0,
      "present": false
     },
     {
      "factor": "high_risk_exam",
      "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.",
    "add_rs_band": "0",
    "formula_expression": "ADD-RS = 1 if any high-risk condition (Marfan/connective tissue, family aortic disease, known aortic valve disease, recent aortic manipulation, known thoracic aneurysm) + 1 if any high-risk pain feature of chest/back/abdominal pain (sudden, severe, ripping/tearing) + 1 if any high-risk exam feature (pulse deficit or SBP differential, focal neurologic deficit with pain, new AI murmur with pain, hypotension or shock); two markers in the same category still add only 1; max 3; Rogers 2011 bands 0 / 1 / 2-3 (2010 ACCF/AHA high-risk markers)"
   },
   {
    "score": 0,
    "formula": "add_rs",
    "citation": {
     "id": "rogers-2011",
     "doi": "10.1161/CIRCULATIONAHA.110.988568",
     "pmid": "21555704",
     "title": "Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation: results from the international registry of acute aortic dissection",
     "source": "Circulation. 2011;123(20):2213-2218",
     "authors": "Rogers AM, Hermann LK, Booher AM, et al."
    },
    "max_score": 3,
    "components": [
     {
      "factor": "high_risk_conditions",
      "points": 0,
      "present": false
     },
     {
      "factor": "high_risk_pain",
      "points": 0,
      "present": false
     
… (truncated)
```

## More

- Live health (JSON, refreshed every minute): https://www.zero.xyz/c/rogers-2011-aortic-dissection-detection-risk-score-add-rs-8921fdbe/health.json
- [Zero catalog index](https://www.zero.xyz/llms.txt)
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