calc add rs derived

{
  "input": {
    "body": {
      "items": [
        {
          "pain_severe": false,
          "pain_sudden": false,
          "hypotension_or_shock": false,
          "family_aortic_disease": false,
          "known_thoracic_aneurysm": false,
          "new_ai_murmur_with_pain": false,
          "pain_ripping_or_tearing": false,
          "known_aortic_valve_disease": false,
          "recent_aortic_manipulation": false,
          "marfan_or_connective_tissue": false,
          "focal_neuro_deficit_with_pain": false,
          "pulse_deficit_or_sbp_differential": false
        },
        {
          "pain_severe": false,
          "pain_sudden": false,
          "hypotension_or_shock": false,
          "family_aortic_disease": false,
          "known_thoracic_aneurysm": false,
          "new_ai_murmur_with_pain": false,
          "pain_ripping_or_tearing": false,
          "known_aortic_valve_disease": false,
          "recent_aortic_manipulation": false,
          "marfan_or_connective_tissue": false,
          "focal_neuro_deficit_with_pain": false,
          "pulse_deficit_or_sbp_differential": false
        }
      ]
    },
    "type": "http",
    "method": "POST"
  },
  "output": {
    "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
            },
            {
              "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)"
        }
      ]
    }
  }
}