{"uid":"cap_S6ZoBdqiQ5s5GMSZ2Bski","slug":"bush-francis-catatonia-rating-scale-bfcrs-calculator-8e728700","name":"Bush-Francis Catatonia Rating Scale (BFCRS) Calculator","description":"Bush 1996 23-item catatonia rating scale from caller-assigned integers. Items 1-16 and 22-23 are 0-3; mitgehen, gegenhalten, ambitendency, grasp_reflex, and perseveration are 0 or 3 only. Severity is the sum of items 1-23 (max 69). The 14-item screen is positive iff at least two of items 1-14 score above 0. magent does not perform the standardized examination. Not a diagnosis, not DSM catatonia criteria, not a medical device.","url":"https://api.magentlab.com/api/calc/bush_francis","method":"GET","headers":{},"bodySchema":{"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":["excitement","immobility_stupor","mutism","staring","posturing_catalepsy","grimacing","echopraxia_echolalia","stereotypy","mannerisms","verbigeration","rigidity","negativism","waxy_flexibility","withdrawal","impulsivity","automatic_obedience","mitgehen","gegenhalten","ambitendency","grasp_reflex","perseveration","combativeness","autonomic_abnormality"],"properties":{"mutism":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 mutism (item 3; integer 0-3). magent does not examine the patient."},"staring":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 staring (item 4; integer 0-3). magent does not examine the patient."},"mitgehen":{"enum":[0,3],"type":"integer","description":"Caller-assigned Bush 1996 mitgehen (item 17; 0 absent or 3 present only). magent does not examine the patient."},"rigidity":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 rigidity (item 11; integer 0-3). magent does not examine the patient."},"grimacing":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 grimacing (item 6; integer 0-3). magent does not examine the patient."},"excitement":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 excitement (item 1; integer 0-3). magent does not examine the patient."},"mannerisms":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 mannerisms (item 9; integer 0-3). magent does not examine the patient."},"negativism":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 negativism (item 12; integer 0-3). magent does not examine the patient."},"stereotypy":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 stereotypy (item 8; integer 0-3). magent does not examine the patient."},"withdrawal":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 withdrawal (item 14; integer 0-3). magent does not examine the patient."},"gegenhalten":{"enum":[0,3],"type":"integer","description":"Caller-assigned Bush 1996 gegenhalten (item 18; 0 absent or 3 present only). magent does not examine the patient."},"impulsivity":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 impulsivity (item 15; integer 0-3). magent does not examine the patient."},"ambitendency":{"enum":[0,3],"type":"integer","description":"Caller-assigned Bush 1996 ambitendency (item 19; 0 absent or 3 present only). magent does not examine the patient."},"grasp_reflex":{"enum":[0,3],"type":"integer","description":"Caller-assigned Bush 1996 grasp reflex (item 20; 0 absent or 3 present only). magent does not examine the patient."},"combativeness":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 combativeness (item 22; integer 0-3). magent does not examine the patient."},"perseveration":{"enum":[0,3],"type":"integer","description":"Caller-assigned Bush 1996 perseveration (item 21; 0 absent or 3 present only). magent does not examine the patient."},"verbigeration":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 verbigeration (item 10; integer 0-3). magent does not examine the patient."},"waxy_flexibility":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 waxy flexibility (item 13; integer 0-3). magent does not examine the patient."},"immobility_stupor":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 immobility/stupor (item 2; integer 0-3). magent does not examine the patient."},"automatic_obedience":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 automatic obedience (item 16; integer 0-3). magent does not examine the patient."},"posturing_catalepsy":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 posturing/catalepsy (item 5; integer 0-3). magent does not examine the patient."},"echopraxia_echolalia":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 echopraxia/echolalia (item 7; integer 0-3). magent does not examine the patient."},"autonomic_abnormality":{"enum":[0,1,2,3],"type":"integer","description":"Caller-assigned Bush 1996 autonomic abnormality (item 23; integer 0-3). magent does not examine the patient."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_jo7l5pxbnIuy_Ema3LRUJ","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Computes the Bush 1996 23-item catatonia severity score and 14-item screening result from caller-supplied integer ratings for each item","exampleAgentPrompt":"Score this patient on the Bush-Francis Catatonia Rating Scale: excitement 1, immobility/stupor 2, mutism 2, staring 1, posturing/catalepsy 1, grimacing 0, echopraxia/echolalia 0, stereotypy 0, mannerisms 0, verbigeration 0, rigidity 1, negativism 1, waxy flexibility 1, withdrawal 1, impulsivity 0, automatic obedience 0, mitgehen 0, gegenhalten 0, ambitendency 0, grasp reflex 0, perseveration 0, combativeness 0, autonomic abnormality 1 — give me the total severity score and whether the 14-item screen is positive.","exampleUseCases":[{"title":"EHR catatonia severity tracking","prompt":"A patient was rated today: excitement 0, immobility/stupor 3, mutism 3, staring 2, posturing/catalepsy 2, grimacing 1, echopraxia/echolalia 0, stereotypy 1, mannerisms 0, verbigeration 0, rigidity 2, negativism 2, waxy flexibility 2, withdrawal 2, impulsivity 0, automatic obedience 1, mitgehen 0, gegenhalten 0, ambitendency 0, grasp reflex 0, perseveration 0, combativeness 0, autonomic abnormality 1. What is the BFCRS total severity score and is the screening positive?"},{"title":"Research dataset batch scoring","prompt":"I have item ratings for a study participant on the Bush-Francis scale: excitement 1, immobility/stupor 1, mutism 0, staring 1, posturing/catalepsy 0, grimacing 0, echopraxia/echolalia 1, stereotypy 0, mannerisms 1, verbigeration 0, rigidity 0, negativism 0, waxy flexibility 0, withdrawal 0, impulsivity 0, automatic obedience 0, mitgehen 0, gegenhalten 0, ambitendency 0, grasp reflex 0, perseveration 0, combativeness 0, autonomic abnormality 0. Compute the 23-item total and tell me if the 14-item screen is positive."},{"title":"Clinical decision support alert","prompt":"Run the Bush-Francis catatonia rating for a patient whose rater assigned: excitement 2, immobility/stupor 2, mutism 1, staring 2, posturing/catalepsy 2, grimacing 2, echopraxia/echolalia 1, stereotypy 1, mannerisms 1, verbigeration 1, rigidity 1, negativism 1, waxy flexibility 1, withdrawal 1, impulsivity 1, automatic obedience 1, mitgehen 3, gegenhalten 0, ambitendency 0, grasp reflex 0, perseveration 0, combativeness 1, autonomic abnormality 1 — I need the severity score and screen status to decide on next steps."}],"resultDescription":"Returns the summed BFCRS severity score across all 23 items (maximum 69), and a boolean or positive/negative result for the 14-item screening subscale (positive if at least two of items 1-14 score above zero).","failureModes":["Missing any of the 23 required query parameters causes a validation error","Supplying a value other than 0/3 for binary-only items (mitgehen, gegenhalten, ambitendency, grasp_reflex, perseveration) returns an error","Supplying out-of-range integers (e.g. 4 for a 0-3 item) causes a schema validation failure","Network or payment (x402) issues may result in a 402 or 5xx response"],"whenToPreferThis":"Use this endpoint when you need automated, reproducible arithmetic for the Bush 1996 23-item Bush-Francis Catatonia Rating Scale — specifically when a human rater has already assigned integer scores to each item and you need the total severity sum and 14-item screen result computed without manual addition. It is not a substitute for clinical examination, DSM diagnosis, or a medical device.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T06:58:01.937Z","isFirstParty":false}