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ayeyouok

a207-clinical-calc-mcp

by ayeyouok

calc_egfr_schwartz

Calculate pediatric eGFR using Schwartz formulas (bedside2009, revised2009, classic) to support CKD staging and clinical decisions.

Instructions

估算肾小球滤过率(Schwartz 系列),医生独占。

  • method=bedside2009:eGFR=0.413×身高/Sr(KDIGO 默认)

  • method=revised2009:含 BUN 修订式,需 bun_mg_dl

  • method=classic:k×身高/Sr,k 按年龄带或 k_value 覆盖 返回 egfr(ml/min/1.73m²)、所用公式、口径说明、<2 岁警示。

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
methodNobedside2009
k_valueNo
age_yearsYes
bun_mg_dlNo
height_cmYes
serum_creatinine_mgdlYes

Output Schema

TableJSON Schema
NameRequiredDescriptionDefault

No arguments

Behavior4/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

With no annotations, the description carries the burden and does disclose key behavior: formulas used, output units (ml/min/1.73m²), required BUN input for one method, and an under-2-years warning. It does not explain error handling or edge-case behavior (e.g., missing BUN, invalid method), which prevents a perfect score.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness5/5

Is the description appropriately sized, front-loaded, and free of redundancy?

The description is compact, front-loaded with the core purpose, and uses bulleted method variants that are easy to scan. Every sentence adds information, and there is no redundant or filler content.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness4/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

The description is largely complete for a calculation tool: it covers methods, inputs, outputs, and a special warning. Since an output schema exists, return value details need not be fully described. However, it omits the intended age population (Schwartz is pediatric) and does not specify behavior when required inputs for selected methods are missing, so a small gap remains.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters5/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Schema description coverage is 0%, but the description compensates exceptionally well: it explains all three method values, indicates bun_mg_dl is only needed for revised2009, and explains k_value as either age-based or an override. The formulas mention height and Sr (serum creatinine), and age_years is tied to age bands and the under-2 warning, so every parameter receives meaningful context.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose5/5

Does the description clearly state what the tool does and how it differs from similar tools?

The description begins with a specific action and resource: '估算肾小球滤过率(Schwartz 系列)' (estimate GFR, Schwartz series) and adds the exclusivity restriction '医生独占'. This clearly distinguishes it from the sibling tool classify_ckd, which likely addresses staging rather than calculation.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines4/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

It provides clear usage context: doctor-only access, method variants with the KDIGO default, and the dependency on bun_mg_dl for revised2009. However, it does not explicitly state when NOT to use this tool or directly compare it with classify_ckd, so it falls short of fully explicit when/when-not guidance.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

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