69trust / 100

Calc Myxedema Coma

x402 APIFailing, checked 4 h ago

Popoveniuc 2014 myxedema coma points from caller-assigned bands: thermoregulatory 0/10/20; CNS 0/10/15/20/30; GI 0/5/15/20; precipitant 10; bradycardia 0/10/20/30 plus other EKG 10, effusion 10, pulmonary edema 15, cardiomegaly 15, hypotension 20; five metabolic flags 10 each. Max 230. ≥60 potentially diagnostic; 45–59 at risk. Not a diagnosis or thyroid-hormone order. magent does not measure temperature, GCS, or labs.

POST

https://api.magentlab.com/api/calc/myxedema_coma

Price: $0.007; per call in USDC
Uptime: 97.0%; last 30 days
Response time: 185 ms; 424 ms slowest 5%
Last check: Failed; 4 h ago, next any minute now

Run a free test call How to call it

Reliability

All checks passedSome failedAll failedNot checked

Latest check failed 4 h ago: Timed out

Status and outage history · Atom feed · Watch with other listings

How to call it

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

Each call costs $0.007 in USDC on Base, paid with the request over x402.

Run a free test callOne unpaid request, the way an agent sends it. You see the payment challenge it gets back. Nothing is charged.

Example request

From the listing.

POST https://api.magentlab.com/api/calc/myxedema_coma
content-type: application/json

{
  "items": [
    {
      "bradycardia": "absent",
      "cardiomegaly": false,
      "cns_effects": "absent",
      "decreased_gfr": false,
      "gastrointestinal": "absent",
      "hypercarbia": false,
      "hypoglycemia": false,
      "hyponatremia": false,
      "hypotension": false,
      "hypoxemia": false,
      "other_ekg_changes": false,
      "pericardial_pleural_effusion": false,
      "precipitating_event": false,
      "pulmonary_edema": false,
      "thermoregulatory": "gt_35"
    },
    {
      "bradycardia": "absent",
      "cardiomegaly": false,
      "cns_effects": "absent",
      "decreased_gfr": false,
      "gastrointestinal": "absent",
      "hypercarbia": false,
      "hypoglycemia": false,
      "hyponatremia": false,
      "hypotension": false,
      "hypoxemia": false,
      "other_ekg_changes": false,
      "pericardial_pleural_effusion": false,
      "precipitating_event": false,
      "pulmonary_edema": false,
      "thermoregulatory": "gt_35"
    }
  ]
}

Parameters

Parameter	Type	Required	Description
`items`	array of object	Yes

Example response

The provider's example. We can't check it without paying.

Example response, 222 lines

{
  "count": 2,
  "items": [
    {
      "citation": {
        "authors": "Popoveniuc G, Chandra T, Sud A, Sharma M, Blackman MR, Burman KD, Mete M, Desale S, Wartofsky L",
        "doi": "10.4158/EP13460.OR",
        "id": "popoveniuc-2014",
        "pmid": "24518183",
        "source": "Endocr Pract. 2014;20(8):808-817",
        "title": "A diagnostic scoring system for myxedema coma"
      },
      "components": [
        {
          "factor": "thermoregulatory",
          "points": 0,
          "present": false,
          "value": "gt_35"
        },
        {
          "factor": "cns_effects",
          "points": 0,
          "present": false,
          "value": "absent"
        },
        {
          "factor": "gastrointestinal",
          "points": 0,
          "present": false,
          "value": "absent"
        },
        {
          "factor": "precipitating_event",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "bradycardia",
          "points": 0,
          "present": false,
          "value": "absent"
        },
        {
          "factor": "other_ekg_changes",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "pericardial_pleural_effusion",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "pulmonary_edema",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "cardiomegaly",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hypotension",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hyponatremia",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hypoglycemia",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hypoxemia",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hypercarbia",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "decreased_gfr",
          "points": 0,
          "present": false,
          "value": 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": "myxedema_coma",
      "formula_expression": "Popoveniuc 2014 = thermoregulatory(gt_35→0, 32_to_35→10, lt_32→20) + cns_effects(absent→0, somnolent_lethargic→10, obtunded→15, stupor→20, coma_seizures→30) + gastrointestinal(absent→0, anorexia_pain_constipation→5, decreased_motility→15, paralytic_ileus→20) + 10*precipitating_event + bradycardia(absent→0, 50_to_59→10, 40_to_49→20, lt_40→30) + 10*other_ekg_changes + 10*pericardial_pleural_effusion + 15*pulmonary_edema + 15*cardiomegaly + 20*hypotension + 10*hyponatremia + 10*hypoglycemia + 10*hypoxemia + 10*hypercarbia + 10*decreased_gfr; max 230; ≥60 potentially_diagnostic, 45–59 at_risk",
      "max_score": 230,
      "myxedema_coma_band": "below_at_risk",
      "score": 0
    },
    {
      "citation": {
        "authors": "Popoveniuc G, Chandra T, Sud A, Sharma M, Blackman MR, Burman KD, Mete M, Desale S, Wartofsky L",
        "doi": "10.4158/EP13460.OR",
        "id": "popoveniuc-2014",
        "pmid": "24518183",
        "source": "Endocr Pract. 2014;20(8):808-817",
        "title": "A diagnostic scoring system for myxedema coma"
      },
      "components": [
        {
          "factor": "thermoregulatory",
          "points": 0,
          "present": false,
          "value": "gt_35"
        },
        {
          "factor": "cns_effects",
          "points": 0,
          "present": false,
          "value": "absent"
        },
        {
          "factor": "gastrointestinal",
          "points": 0,
          "present": false,
          "value": "absent"
        },
        {
          "factor": "precipitating_event",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "bradycardia",
          "points": 0,
          "present": false,
          "value": "absent"
        },
        {
          "factor": "other_ekg_changes",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "pericardial_pleural_effusion",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "pulmonary_edema",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "cardiomegaly",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hypotension",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hyponatremia",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hypoglycemia",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hypoxemia",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "hypercarbia",
          "points": 0,
          "present": false,
          "value": false
        },
        {
          "factor": "decreased_gfr",
          "points": 0,
          "present": false,
          "value": 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": "myxedema_coma",
      "formula_expression": "Popoveniuc 2014 = thermoregulatory(gt_35→0, 32_to_35→10, lt_32→20) + cns_effects(absent→0, somnolent_lethargic→10, obtunded→15, stupor→20, coma_seizures→30) + gastrointestinal(absent→0, anorexia_pain_constipation→5, decreased_motility→15, paralytic_ileus→20) + 10*precipitating_event + bradycardia(absent→0, 50_to_59→10, 40_to_49→20, lt_40→30) + 10*other_ekg_changes + 10*pericardial_pleural_effusion + 15*pulmonary_edema + 15*cardiomegaly + 20*hypotension + 10*hyponatremia + 10*hypoglycemia + 10*hypoxemia + 10*hypercarbia + 10*decreased_gfr; max 230; ≥60 potentially_diagnostic, 45–59 at_risk",
      "max_score": 230,
      "myxedema_coma_band": "below_at_risk",
      "score": 0
    }
  ],
  "path": "/api/calc/myxedema_coma"
}

Call it from code

The curl command shows the payment challenge. The JavaScript and Python versions pay and call, and never pay more than $0.007.

curl: see the payment challenge

# bash or zsh: see the payment challenge. Nothing is charged.
curl -sS -g -i -X POST 'https://api.magentlab.com/api/calc/myxedema_coma' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"bradycardia":"absent","cardiomegaly":false,"cns_effects":"absent","decreased_gfr":false,"gastrointestinal":"absent","hypercarbia":false,"hypoglycemia":false,"hyponatremia":false,"hypotension":false,"hypoxemia":false,"other_ekg_changes":false,"pericardial_pleural_effusion":false,"precipitating_event":false,"pulmonary_edema":false,"thermoregulatory":"gt_35"},{"bradycardia":"absent","cardiomegaly":false,"cns_effects":"absent","decreased_gfr":false,"gastrointestinal":"absent","hypercarbia":false,"hypoglycemia":false,"hyponatremia":false,"hypotension":false,"hypoxemia":false,"other_ekg_changes":false,"pericardial_pleural_effusion":false,"precipitating_event":false,"pulmonary_edema":false,"thermoregulatory":"gt_35"}]}'

# 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/myxedema_coma' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"bradycardia":"absent","cardiomegaly":false,"cns_effects":"absent","decreased_gfr":false,"gastrointestinal":"absent","hypercarbia":false,"hypoglycemia":false,"hyponatremia":false,"hypotension":false,"hypoxemia":false,"other_ekg_changes":false,"pericardial_pleural_effusion":false,"precipitating_event":false,"pulmonary_edema":false,"thermoregulatory":"gt_35"},{"bradycardia":"absent","cardiomegaly":false,"cns_effects":"absent","decreased_gfr":false,"gastrointestinal":"absent","hypercarbia":false,"hypoglycemia":false,"hyponatremia":false,"hypotension":false,"hypoxemia":false,"other_ekg_changes":false,"pericardial_pleural_effusion":false,"precipitating_event":false,"pulmonary_edema":false,"thermoregulatory":"gt_35"}]}' \
  | grep -i '^payment-required:' | cut -d' ' -f2 | tr -d '\r' | base64 --decode

JavaScript: pay and call

// 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%2Fmyxedema_coma&method=POST
const res = await pay("https://api.magentlab.com/api/calc/myxedema_coma", {
  method: "POST",
  headers: { "content-type": "application/json" },
  body: JSON.stringify({
    "items": [
      {
        "bradycardia": "absent",
        "cardiomegaly": false,
        "cns_effects": "absent",
        "decreased_gfr": false,
        "gastrointestinal": "absent",
        "hypercarbia": false,
        "hypoglycemia": false,
        "hyponatremia": false,
        "hypotension": false,
        "hypoxemia": false,
        "other_ekg_changes": false,
        "pericardial_pleural_effusion": false,
        "precipitating_event": false,
        "pulmonary_edema": false,
        "thermoregulatory": "gt_35"
      },
      {
        "bradycardia": "absent",
        "cardiomegaly": false,
        "cns_effects": "absent",
        "decreased_gfr": false,
        "gastrointestinal": "absent",
        "hypercarbia": false,
        "hypoglycemia": false,
        "hyponatremia": false,
        "hypotension": false,
        "hypoxemia": false,
        "other_ekg_changes": false,
        "pericardial_pleural_effusion": false,
        "precipitating_event": false,
        "pulmonary_edema": false,
        "thermoregulatory": "gt_35"
      }
    ]
  }),
});
console.log(res.status, await res.text());

Python: pay and call

# 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/myxedema_coma",
        json={
            "items": [
                {
                    "bradycardia": "absent",
                    "cardiomegaly": False,
                    "cns_effects": "absent",
                    "decreased_gfr": False,
                    "gastrointestinal": "absent",
                    "hypercarbia": False,
                    "hypoglycemia": False,
                    "hyponatremia": False,
                    "hypotension": False,
                    "hypoxemia": False,
                    "other_ekg_changes": False,
                    "pericardial_pleural_effusion": False,
                    "precipitating_event": False,
                    "pulmonary_edema": False,
                    "thermoregulatory": "gt_35",
                },
                {
                    "bradycardia": "absent",
                    "cardiomegaly": False,
                    "cns_effects": "absent",
                    "decreased_gfr": False,
                    "gastrointestinal": "absent",
                    "hypercarbia": False,
                    "hypoglycemia": False,
                    "hyponatremia": False,
                    "hypotension": False,
                    "hypoxemia": False,
                    "other_ekg_changes": False,
                    "pericardial_pleural_effusion": False,
                    "precipitating_event": False,
                    "pulmonary_edema": False,
                    "thermoregulatory": "gt_35",
                },
            ],
        },
    )
    print(res.status_code, res.text)

Security scan

1 finding

Charges more than its listed price in payment
Listed at $0.005, charges $0.007

Recent checks

When	Result	HTTP	Time	Price
4 h ago	Timed out	-	-	-
8 h ago	Passed	402	185 ms	$0.007
13 h ago	Passed	402	186 ms	$0.007
18 h ago	Passed	402	424 ms	$0.007
23 h ago	Passed	402	244 ms	$0.007

Show 10 older checks

27 h ago	Passed	402	186 ms	$0.007
32 h ago	Passed	402	177 ms	$0.007
36 h ago	Passed	402	334 ms	$0.007
40 h ago	Passed	402	144 ms	$0.007
44 h ago	Passed	402	181 ms	$0.007
2 days ago	Passed	402	149 ms	$0.007
2 days ago	Passed	402	172 ms	$0.007
2 days ago	Passed	402	280 ms	$0.007
3 days ago	Passed	402	178 ms	$0.007
3 days ago	Passed	402	186 ms	$0.007

History

11 Oct 2026	Price changed from $0.005 to $0.007

Trust score 69/ 100

Availability (30-day uptime)		29 / 30
Valid x402 challenge		15 / 15
Response time		10 / 10
Real paying agents (30 days)		5 / 15
Charges what it lists		0 / 10
Security scan		10 / 10
Verified owner		0 / 10

How the score works

Payment terms

Price: $0.007 per call
Listed at: $0.005 (charges more)
Token: USDC
Networks: Base
Pays to: 0x836B…9Ee2

Real usage

Paying agents: 2 in 30 days
Paid calls: 5 in 30 days
Last paid call: 4 days ago

Source: x402 Bazaar settlement data.

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Trust score

[![ToolVet trust score](https://toolvet.app/badge/calc-myxedema-coma.svg)](https://toolvet.app/s/calc-myxedema-coma)