Calc Mekhail

{
  "citation": {
    "authors": "Mekhail TM, Abou-Jawde RM, Boumerhi G, Malhi S, Wood L, Elson P, Bukowski R",
    "doi": "10.1200/JCO.2005.05.179",
    "id": "mekhail-2005",
    "pmid": "15681528",
    "source": "J Clin Oncol. 2005;23(4):832-841",
    "title": "Validation and extension of the Memorial Sloan-Kettering prognostic factors model for survival in patients with previously untreated metastatic renal cell carcinoma"
  },
  "components": [
    {
      "factor": "kps_lt_80",
      "points": 0,
      "present": false
    },
    {
      "factor": "ldh_gt_1_5_uln",
      "points": 0,
      "present": false
    },
    {
      "factor": "hemoglobin_lt_lln",
      "points": 0,
      "present": false
    },
    {
      "factor": "corrected_calcium_gt_10",
      "points": 0,
      "present": false
    },
    {
      "factor": "prior_radiotherapy",
      "points": 0,
      "present": false
    },
    {
      "factor": "metastatic_sites_ge_2",
      "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.",
  "formula": "mekhail",
  "formula_expression": "Mekhail = kps_lt_80 1 + ldh_gt_1_5_uln 1 + hemoglobin_lt_lln 1 + corrected_calcium_gt_10 1 + prior_radiotherapy 1 + metastatic_sites_ge_2 1; Mekhail 2005; max 6; favorable 0-1, intermediate 2, poor ≥3",
  "max_score": 6,
  "mekhail_band": "favorable",
  "score": 0
}

# bash or zsh: see the payment challenge. Nothing is charged.
curl -sS -g -i 'https://api.magentlab.com/api/calc/mekhail?corrected_calcium_gt_10=false&hemoglobin_lt_lln=false&kps_lt_80=false&ldh_gt_1_5_uln=false&metastatic_sites_ge_2=false&prior_radiotherapy=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 - 'https://api.magentlab.com/api/calc/mekhail?corrected_calcium_gt_10=false&hemoglobin_lt_lln=false&kps_lt_80=false&ldh_gt_1_5_uln=false&metastatic_sites_ge_2=false&prior_radiotherapy=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 $0.005 per call.
const client = new x402Client().setSpendControls({ maxAmountPerPayment: "$0.005" });
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 $0.005 per payment. GET https://toolvet.app/api/v1/check?url=https%3A%2F%2Fapi.magentlab.com%2Fapi%2Fcalc%2Fmekhail
const res = await pay("https://api.magentlab.com/api/calc/mekhail?corrected_calcium_gt_10=false&hemoglobin_lt_lln=false&kps_lt_80=false&ldh_gt_1_5_uln=false&metastatic_sites_ge_2=false&prior_radiotherapy=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 $0.005 per call.
client = x402ClientSync().set_spend_controls({"max_amount_per_payment": "$0.005"})
register_exact_evm_client(client, EthAccountSigner(Account.from_key(os.environ["EVM_PRIVATE_KEY"])))

with x402_requests(client) as session:
    res = session.get("https://api.magentlab.com/api/calc/mekhail?corrected_calcium_gt_10=false&hemoglobin_lt_lln=false&kps_lt_80=false&ldh_gt_1_5_uln=false&metastatic_sites_ge_2=false&prior_radiotherapy=false")
    print(res.status_code, res.text)