{"uid":"cap_WdN4hT6lk9BMEf55RRhdF","slug":"burch-wartofsky-point-scale-bwps-calculator-2664613f","name":"Burch-Wartofsky Point Scale (BWPS) Calculator","description":"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.","url":"https://api.magentlab.com/api/calc/burch_wartofsky","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":["cns_effects","gi_hepatic","heart_rate_bpm","heart_failure","atrial_fibrillation","precipitating_event"],"properties":{"gi_hepatic":{"enum":["none","moderate","severe"],"type":"string","description":"Caller-assigned GI-hepatic dysfunction (Burch 1993). none → 0; moderate (diarrhea, nausea/vomiting, abdominal pain) → 10; severe (unexplained jaundice) → 20. magent does not examine the patient."},"cns_effects":{"enum":["none","mild","moderate","severe"],"type":"string","description":"Caller-assigned CNS effects (Burch 1993). none → 0; mild (agitation) → 10; moderate (delirium, psychosis, extreme lethargy) → 20; severe (seizure or coma) → 30. magent does not examine the patient."},"heart_failure":{"enum":["none","mild","moderate","severe"],"type":"string","description":"Caller-assigned heart-failure grade (Burch 1993). none → 0; mild (pedal edema) → 5; moderate (bibasilar rales) → 10; severe (pulmonary edema) → 15. magent does not examine the patient."},"temperature_c":{"type":"number","description":"Temperature in °C (32.2-43.3). Converted as F = C×9/5+32, then scored on the Burch 1993 Fahrenheit table. Provide this or temperature_f, not both. magent does not measure temperature."},"temperature_f":{"type":"number","description":"Temperature in °F (90-110). Provide this or temperature_c, not both. Burch 1993: <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. magent does not measure temperature."},"heart_rate_bpm":{"type":"integer","description":"Heart rate in beats/min (integer 30-220). Burch 1993: <90 → 0, 90-109 → 5, 110-119 → 10, 120-129 → 15, 130-139 → 20, ≥140 → 25. Bins start at 90, not 99. magent does not read an ECG."},"atrial_fibrillation":{"type":"boolean","description":"Atrial fibrillation as assigned by the caller (true or false). Burch 1993: true → 10. magent does not read an ECG."},"precipitating_event":{"type":"boolean","description":"Precipitating event as assigned by the caller (true or false). Burch 1993: true → 10. magent does not take a history."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":{"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}]}},"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_wcDv3Lyza9dBrpyL-RJgK","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 Burch-Wartofsky Point Scale score for thyroid storm likelihood from caller-supplied vital signs and clinical findings","exampleAgentPrompt":"Calculate the Burch-Wartofsky score for a patient with a temperature of 103.2°F, heart rate of 128 bpm, moderate CNS effects (delirium), moderate GI-hepatic dysfunction (nausea and vomiting), mild heart failure (pedal edema), no atrial fibrillation, and a known precipitating event.","exampleUseCases":[{"title":"Thyroid storm triage in the ED","prompt":"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?"},{"title":"ICU monitoring of suspected thyrotoxic crisis","prompt":"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?"},{"title":"Clinical documentation and scoring for endocrinology consult","prompt":"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."}],"resultDescription":"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.","failureModes":["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)"],"whenToPreferThis":"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.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T01:19:45.940Z","isFirstParty":false}