Calc Acr Eular Pmr

{
  "count": 2,
  "items": [
    {
      "algorithm": "without_ultrasound",
      "citation": {
        "authors": "Dasgupta B, Cimmino MA, Maradit-Kremers H, Schmidt WA, Schirmer M, Salvarani C, Bachta A, Dejaco C, Duftner C, Jensen HS, Poór G, Kaposi NP, Mandl P, Balint PV, Schmidt Z, Iagnocco A, Nannini C, Cantini F, Macchioni P, Pipitone N, Amo MD, Espígol-Frigolé G, Cid MC, Martínez-Taboada VM, Nordborg E, Direskeneli H, Aydin SZ, Ahmed K, Hazleman B, Silverman B, Pease C, Wakefield RJ, Luqmani R, Abril A, Michet CJ, Mazlumzadeh M, Salvarani C",
        "doi": "10.1136/annrheumdis-2011-200329",
        "id": "dasgupta-2012",
        "pmid": "22388996",
        "source": "Ann Rheum Dis. 2012;71(4):484-492",
        "title": "2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative"
      },
      "classified": true,
      "components": [
        {
          "factor": "morning_stiffness_gt_45",
          "points": 2,
          "present": true
        },
        {
          "factor": "hip_pain_or_limited_rom",
          "points": 1,
          "present": true
        },
        {
          "factor": "rf_or_acpa_absent",
          "points": 2,
          "present": true
        },
        {
          "factor": "other_joint_pain_absent",
          "points": 1,
          "present": true
        }
      ],
      "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.",
      "formula": "acr_eular_pmr",
      "formula_expression": "ACR/EULAR 2012 PMR classification (Dasgupta Table 4): required age 50–120, bilateral_shoulder_aching true, abnormal_crp_or_esr true (else do not score). Score = morning_stiffness_gt_45 2 + hip_pain_or_limited_rom 1 + rf_or_acpa_absent 2 + other_joint_pain_absent 1. Without ultrasound: max 6, classified iff score ≥4. With ultrasound: add us_shoulder_and_hip 1 + us_both_shoulders 1; max 8, classified iff score ≥5. Not a diagnosis (not meant for diagnostic purposes)",
      "max_score": 6,
      "score": 6
    },
    {
      "algorithm": "without_ultrasound",
      "citation": {
        "authors": "Dasgupta B, Cimmino MA, Maradit-Kremers H, Schmidt WA, Schirmer M, Salvarani C, Bachta A, Dejaco C, Duftner C, Jensen HS, Poór G, Kaposi NP, Mandl P, Balint PV, Schmidt Z, Iagnocco A, Nannini C, Cantini F, Macchioni P, Pipitone N, Amo MD, Espígol-Frigolé G, Cid MC, Martínez-Taboada VM, Nordborg E, Direskeneli H, Aydin SZ, Ahmed K, Hazleman B, Silverman B, Pease C, Wakefield RJ, Luqmani R, Abril A, Michet CJ, Mazlumzadeh M, Salvarani C",
        "doi": "10.1136/annrheumdis-2011-200329",
        "id": "dasgupta-2012",
        "pmid": "22388996",
        "source": "Ann Rheum Dis. 2012;71(4):484-492",
        "title": "2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative"
      },
      "classified": true,
      "components": [
        {
          "factor": "morning_stiffness_gt_45",
          "points": 2,
          "present": true
        },
        {
          "factor": "hip_pain_or_limited_rom",
          "points": 1,
          "present": true
        },
        {
          "factor": "rf_or_acpa_absent",
          "points": 2,
          "present": true
        },
        {
          "factor": "other_joint_pain_absent",
          "points": 1,
          "present": true
        }
      ],
      "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.",
      "formula": "acr_eular_pmr",
      "formula_expression": "ACR/EULAR 2012 PMR classification (Dasgupta Table 4): required age 50–120, bilateral_shoulder_aching true, abnormal_crp_or_esr true (else do not score). Score = morning_stiffness_gt_45 2 + hip_pain_or_limited_rom 1 + rf_or_acpa_absent 2 + other_joint_pain_absent 1. Without ultrasound: max 6, classified iff score ≥4. With ultrasound: add us_shoulder_and_hip 1 + us_both_shoulders 1; max 8, classified iff score ≥5. Not a diagnosis (not meant for diagnostic purposes)",
      "max_score": 6,
      "score": 6
    }
  ],
  "path": "/api/calc/acr_eular_pmr"
}

# bash or zsh: see the payment challenge. Nothing is charged.
curl -sS -g -i -X POST 'https://api.magentlab.com/api/calc/acr_eular_pmr' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"abnormal_crp_or_esr":true,"age":70,"bilateral_shoulder_aching":true,"hip_pain_or_limited_rom":true,"include_ultrasound":false,"morning_stiffness_gt_45":true,"other_joint_pain_absent":true,"rf_or_acpa_absent":true,"us_both_shoulders":false,"us_shoulder_and_hip":false},{"abnormal_crp_or_esr":true,"age":70,"bilateral_shoulder_aching":true,"hip_pain_or_limited_rom":true,"include_ultrasound":false,"morning_stiffness_gt_45":true,"other_joint_pain_absent":true,"rf_or_acpa_absent":true,"us_both_shoulders":false,"us_shoulder_and_hip":false}]}'

# x402 v2 sends the challenge base64-encoded in the PAYMENT-REQUIRED header (v1 sends it in the body).
# To read the header:
curl -sS -g -o /dev/null -D - -X POST 'https://api.magentlab.com/api/calc/acr_eular_pmr' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"abnormal_crp_or_esr":true,"age":70,"bilateral_shoulder_aching":true,"hip_pain_or_limited_rom":true,"include_ultrasound":false,"morning_stiffness_gt_45":true,"other_joint_pain_absent":true,"rf_or_acpa_absent":true,"us_both_shoulders":false,"us_shoulder_and_hip":false},{"abnormal_crp_or_esr":true,"age":70,"bilateral_shoulder_aching":true,"hip_pain_or_limited_rom":true,"include_ultrasound":false,"morning_stiffness_gt_45":true,"other_joint_pain_absent":true,"rf_or_acpa_absent":true,"us_both_shoulders":false,"us_shoulder_and_hip":false}]}' \
  | grep -i '^payment-required:' | cut -d' ' -f2 | tr -d '\r' | base64 --decode

// npm i @x402/fetch @x402/evm viem
import { wrapFetchWithPayment, x402Client } from "@x402/fetch";
import { registerExactEvmScheme } from "@x402/evm/exact/client";
import { privateKeyToAccount } from "viem/accounts";

// Pays at most $0.007 per call.
const client = new x402Client().setSpendControls({ maxAmountPerPayment: "$0.007" });
registerExactEvmScheme(client, { signer: privateKeyToAccount(process.env.EVM_PRIVATE_KEY) });
const pay = wrapFetchWithPayment(fetch, client);

// Not sure it's safe to pay? ToolVet checks it first for $0.005. Pay for that from a separate
// client: this one is capped at $0.007 per payment. GET https://toolvet.app/api/v1/check?url=https%3A%2F%2Fapi.magentlab.com%2Fapi%2Fcalc%2Facr_eular_pmr&method=POST
const res = await pay("https://api.magentlab.com/api/calc/acr_eular_pmr", {
  method: "POST",
  headers: { "content-type": "application/json" },
  body: JSON.stringify({
    "items": [
      {
        "abnormal_crp_or_esr": true,
        "age": 70,
        "bilateral_shoulder_aching": true,
        "hip_pain_or_limited_rom": true,
        "include_ultrasound": false,
        "morning_stiffness_gt_45": true,
        "other_joint_pain_absent": true,
        "rf_or_acpa_absent": true,
        "us_both_shoulders": false,
        "us_shoulder_and_hip": false
      },
      {
        "abnormal_crp_or_esr": true,
        "age": 70,
        "bilateral_shoulder_aching": true,
        "hip_pain_or_limited_rom": true,
        "include_ultrasound": false,
        "morning_stiffness_gt_45": true,
        "other_joint_pain_absent": true,
        "rf_or_acpa_absent": true,
        "us_both_shoulders": false,
        "us_shoulder_and_hip": false
      }
    ]
  }),
});
console.log(res.status, await res.text());

# pip install "x402[requests,evm]"
import os
from eth_account import Account
from x402 import x402ClientSync
from x402.http.clients import x402_requests
from x402.mechanisms.evm import EthAccountSigner
from x402.mechanisms.evm.exact.register import register_exact_evm_client

# Pays at most $0.007 per call.
client = x402ClientSync().set_spend_controls({"max_amount_per_payment": "$0.007"})
register_exact_evm_client(client, EthAccountSigner(Account.from_key(os.environ["EVM_PRIVATE_KEY"])))

with x402_requests(client) as session:
    res = session.post(
        "https://api.magentlab.com/api/calc/acr_eular_pmr",
        json={
            "items": [
                {
                    "abnormal_crp_or_esr": True,
                    "age": 70,
                    "bilateral_shoulder_aching": True,
                    "hip_pain_or_limited_rom": True,
                    "include_ultrasound": False,
                    "morning_stiffness_gt_45": True,
                    "other_joint_pain_absent": True,
                    "rf_or_acpa_absent": True,
                    "us_both_shoulders": False,
                    "us_shoulder_and_hip": False,
                },
                {
                    "abnormal_crp_or_esr": True,
                    "age": 70,
                    "bilateral_shoulder_aching": True,
                    "hip_pain_or_limited_rom": True,
                    "include_ultrasound": False,
                    "morning_stiffness_gt_45": True,
                    "other_joint_pain_absent": True,
                    "rf_or_acpa_absent": True,
                    "us_both_shoulders": False,
                    "us_shoulder_and_hip": False,
                },
            ],
        },
    )
    print(res.status_code, res.text)