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Calc Dire

by magent in News & content

x402 APIPassing, checked 1 h ago

Belgrade 2006 DIRE score: Diagnosis, Intractability, and Efficacy each caller-assigned 1-3; Risk is the sum of Psychological, Chemical, Reliability, and Social support (each 1-3, so Risk 4-12). Total 7-21. Scores 14-21 are more suitable for long-term opioid maintenance; 7-13 less suitable. Caller assigns the integers. magent does not take a pain history or write an opioid prescription or taper. Not a medical device.

POST https://api.magentlab.com/api/calc/dire

Last 30 days

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Uptime
100%
Response time
212 ms typical, 371 ms slowest 5%
Last check
1 h ago
Next check
any minute now

How to call it

# See the payment challenge (nothing is charged)
curl -i -X POST "https://api.magentlab.com/api/calc/dire" \
  -H "content-type: application/json" \
  -d '{"items":[{"chemical":1,"diagnosis":1,"efficacy":1,"intractability":1,"psychological":1,"reliability":1,"social_support":1},{"chemical":1,"diagnosis":1,"efficacy":1,"intractability":1,"psychological":1,"reliability":1,"social_support":1}]}'
import { wrapFetchWithPayment } from "@x402/fetch";
import { x402Client } from "@x402/core/client";
import { ExactEvmScheme } from "@x402/evm/exact/client";
import { privateKeyToAccount } from "viem/accounts";

const client = new x402Client().register(
  "eip155:8453",
  new ExactEvmScheme(privateKeyToAccount(process.env.AGENT_KEY)),
);
const pay = wrapFetchWithPayment(fetch, client);

// Not sure it's safe to pay? Preflight it first for $0.005:
// GET https://toolvet.app/api/v1/check?url=https%3A%2F%2Fapi.magentlab.com%2Fapi%2Fcalc%2Fdire
const res = await pay("https://api.magentlab.com/api/calc/dire", {
  method: "POST",
  headers: { "content-type": "application/json" },
  body: JSON.stringify({"items":[{"chemical":1,"diagnosis":1,"efficacy":1,"intractability":1,"psychological":1,"reliability":1,"social_support":1},{"chemical":1,"diagnosis":1,"efficacy":1,"intractability":1,"psychological":1,"reliability":1,"social_support":1}]}),
});
console.log(await res.json());

Example input

{
  "items": [
    {
      "chemical": 1,
      "diagnosis": 1,
      "efficacy": 1,
      "intractability": 1,
      "psychological": 1,
      "reliability": 1,
      "social_support": 1
    },
    {
      "chemical": 1,
      "diagnosis": 1,
      "efficacy": 1,
      "intractability": 1,
      "psychological": 1,
      "reliability": 1,
      "social_support": 1
    }
  ]
}

Example output

{
  "count": 2,
  "items": [
    {
      "chemical": 1,
      "citation": {
        "authors": "Belgrade MJ, Schamber CD, Lindgren BR",
        "doi": "10.1016/j.jpain.2006.03.001",
        "id": "belgrade-2006",
        "pmid": "16942953",
        "source": "J Pain. 2006;7(9):671-681",
        "title": "The DIRE score: predicting outcomes of opioid prescribing for chronic pain"
      },
      "components": [
        {
          "factor": "diagnosis",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "intractability",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "psychological",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "chemical",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "reliability",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "social_support",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "efficacy",
          "points": 1,
          "present": true,
          "value": 1
        }
      ],
      "diagnosis": 1,
      "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.",
      "efficacy": 1,
      "formula": "dire",
      "formula_expression": "DIRE = diagnosis + intractability + risk + efficacy; diagnosis, intractability, and efficacy each caller-assigned 1-3; risk = psychological + chemical + reliability + social_support (each 1-3, so risk 4-12); total 7-21; Belgrade 2006; score 14-21 more suitable for long-term opioid maintenance, 7-13 less suitable",
      "intractability": 1,
      "max_score": 21,
      "psychological": 1,
      "reliability": 1,
      "risk": 4,
      "score": 7,
      "social_support": 1,
      "suitable_candidate": false
    },
    {
      "chemical": 1,
      "citation": {
        "authors": "Belgrade MJ, Schamber CD, Lindgren BR",
        "doi": "10.1016/j.jpain.2006.03.001",
        "id": "belgrade-2006",
        "pmid": "16942953",
        "source": "J Pain. 2006;7(9):671-681",
        "title": "The DIRE score: predicting outcomes of opioid prescribing for chronic pain"
      },
      "components": [
        {
          "factor": "diagnosis",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "intractability",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "psychological",
          "points": 1,
          "present": true,
          "value": 1
        },
        {
          "factor": "chemical",
          "points": 1,
          "present": true,
      

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