Health

MELD Score (End-Stage Liver Disease)

Calculate the current UNOS/OPTN base MELD(i) score for end-stage liver disease and transplant allocation: MELD(i) = (0.957·ln(creatinine) + 0.378·ln(bilirubin) + 1.120·ln(INR) + 0.643) × 10, rounded and clamped to 6–40. Creatinine is floored at 1.0, capped at 4.0 mg/dL, and forced to 4.0 if dialyzed ≥2× or on CVVHD ≥24 h in the past week; bilirubin and INR are floored at 1.0. NOTE: in the US, MELD-Na (2016) and then MELD 3.0 (Jul 2023, adds sex and albumin) have superseded this base MELD for adult allocation — this tool implements the classic base MELD(i) for education / non-US use. Derived from Kamath 2001 (Hepatology) and UNOS/OPTN policy. Not medical advice.

json· JSON resultOpen tool

Quick start

Call this tool from your code in three languages.

cURL

curl -X POST 'https://api.elysiatools.com/en/api/tools/meld-score' \
  -H 'Content-Type: application/json' \
  -d '{"creatinine":1.5,"bilirubin":3,"inr":1.8,"dialysis":false,"decimalPlaces":4}'

API reference

Send a POST request with your inputs as JSON. File parameters require a separate upload first.

Endpoint

HTTP

POST https://api.elysiatools.com/en/api/tools/meld-score

Parameters

Name	Type	Required	Description
creatinine	number	Yes	Serum creatinine in mg/dL. Floored at 1.0, capped at 4.0 (4.0 if dialyzed). Must be positive.
bilirubin	number	Yes	Total bilirubin in mg/dL. Floored at 1.0. Must be positive.
inr	number	Yes	International Normalized Ratio (INR). Floored at 1.0. Must be positive.
dialysis	checkbox	No	If dialyzed at least twice or on CVVHD for ≥ 24 hours in the past week, creatinine is set to 4.0 mg/dL.
decimalPlaces	number

MCP integration

Add this tool to your Model Context Protocol server so AI agents can list and call it.

Server configuration

Add this block to your MCP client configuration:

mcp.json

{
  "mcpServers": {
    "elysiatools-meld-score": {
      "name": "meld-score",
      "description": "Calculate the current UNOS/OPTN base MELD(i) score for end-stage liver disease and transplant allocation: MELD(i) = (0.957·ln(creatinine) + 0.378·ln(bilirubin) + 1.120·ln(INR) + 0.643) × 10, rounded and clamped to 6–40. Creatinine is floored at 1.0, capped at 4.0 mg/dL, and forced to 4.0 if dialyzed ≥2× or on CVVHD ≥24 h in the past week; bilirubin and INR are floored at 1.0. NOTE: in the US, MELD-Na (2016) and then MELD 3.0 (Jul 2023, adds sex and albumin) have superseded this base MELD for adult allocation — this tool implements the classic base MELD(i) for education / non-US use. Derived from Kamath 2001 (Hepatology) and UNOS/OPTN policy. Not medical advice.",
      "baseUrl": "https://api.elysiatools.com/mcp/sse?toolId=meld-score",
      "command": "",
      "args": [],
      "env": {},
      "isActive": true,
      "type": "sse"
    }
  }
}

List available tools

After connecting to the SSE endpoint, list the exposed tools:

tools/list

{
  "jsonrpc": "2.0",
  "id": 1,
  "method": "tools/list"
}

Call this tool

Invoke the tool by its id, passing arguments built from its parameters:

tools/call

{
  "jsonrpc": "2.0",
  "id": 2,
  "method": "tools/call",
  "params": {
    "name": "meld-score",
    "arguments": {
  "creatinine": 1.5,
  "bilirubin": 3,
  "inr": 1.8,
  "dialysis": false,
  "decimalPlaces": 4
}
  }
}

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