71trust / 100

Calc Rome Iv Biliary Pain

x402 APIPassing, checked 3 h ago

Cotton 2016 Rome IV E1 biliary pain. rome_iv_biliary_pain is true iff epigastric or RUQ pain builds to a 30-min steady level, occurs at different intervals (not daily), interrupts activities or leads to an ED visit, and is not significantly related to bowel movements or relieved by posture or acid suppression. Supportive flags reported, not required. magent does not examine the patient or read ultrasound, HIDA, or ERCP. Not a diagnosis, not functional gallbladder, not biliary or pancreatic SOD.

POST

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

Price: $0.007; per call in USDC
Uptime: 100%; last 30 days
Response time: 261 ms; 466 ms slowest 5%
Last check: Passed; 3 h ago, next any minute now

Run a free test call How to call it

Reliability

All checks passedSome failedAll failedNot checked

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

How to call it

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

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/rome_iv_biliary_pain
content-type: application/json

{
  "items": [
    {
      "builds_to_steady_level_lasts_30_min_or_longer": true,
      "epigastric_or_ruq_pain": true,
      "nausea_and_vomiting": true,
      "not_significantly_related_to_bowel_movements": true,
      "not_significantly_relieved_by_postural_change_or_acid_suppression": true,
      "occurring_at_different_intervals_not_daily": true,
      "radiation_to_back_or_right_infra_subscapular": true,
      "severe_enough_to_interrupt_activities_or_ed_visit": true,
      "waking_from_sleep": true
    },
    {
      "builds_to_steady_level_lasts_30_min_or_longer": true,
      "epigastric_or_ruq_pain": true,
      "nausea_and_vomiting": true,
      "not_significantly_related_to_bowel_movements": true,
      "not_significantly_relieved_by_postural_change_or_acid_suppression": true,
      "occurring_at_different_intervals_not_daily": true,
      "radiation_to_back_or_right_infra_subscapular": true,
      "severe_enough_to_interrupt_activities_or_ed_visit": true,
      "waking_from_sleep": true
    }
  ]
}

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, 116 lines

{
  "count": 2,
  "items": [
    {
      "citation": {
        "authors": "Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES",
        "doi": "10.1053/j.gastro.2016.02.033",
        "id": "cotton-2016",
        "pmid": "27144629",
        "source": "Gastroenterology. 2016;150(6):1420-1429",
        "title": "Gallbladder and Sphincter of Oddi Disorders"
      },
      "criteria": [
        {
          "factor": "epigastric_or_ruq_pain",
          "met": true
        },
        {
          "factor": "builds_to_steady_level_lasts_30_min_or_longer",
          "met": true
        },
        {
          "factor": "occurring_at_different_intervals_not_daily",
          "met": true
        },
        {
          "factor": "severe_enough_to_interrupt_activities_or_ed_visit",
          "met": true
        },
        {
          "factor": "not_significantly_related_to_bowel_movements",
          "met": true
        },
        {
          "factor": "not_significantly_relieved_by_postural_change_or_acid_suppression",
          "met": true
        },
        {
          "factor": "nausea_and_vomiting",
          "met": true
        },
        {
          "factor": "radiation_to_back_or_right_infra_subscapular",
          "met": true
        },
        {
          "factor": "waking_from_sleep",
          "met": 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": "rome_iv_biliary_pain",
      "formula_expression": "rome_iv_biliary_pain iff epigastric_or_ruq_pain and builds_to_steady_level_lasts_30_min_or_longer and occurring_at_different_intervals_not_daily and severe_enough_to_interrupt_activities_or_ed_visit and not_significantly_related_to_bowel_movements and not_significantly_relieved_by_postural_change_or_acid_suppression (Cotton 2016 Rome IV E1 biliary pain). Supportive nausea_and_vomiting, radiation_to_back_or_right_infra_subscapular, waking_from_sleep are reported and not required.",
      "nausea_and_vomiting": true,
      "radiation_to_back_or_right_infra_subscapular": true,
      "rome_iv_biliary_pain": true,
      "waking_from_sleep": true
    },
    {
      "citation": {
        "authors": "Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES",
        "doi": "10.1053/j.gastro.2016.02.033",
        "id": "cotton-2016",
        "pmid": "27144629",
        "source": "Gastroenterology. 2016;150(6):1420-1429",
        "title": "Gallbladder and Sphincter of Oddi Disorders"
      },
      "criteria": [
        {
          "factor": "epigastric_or_ruq_pain",
          "met": true
        },
        {
          "factor": "builds_to_steady_level_lasts_30_min_or_longer",
          "met": true
        },
        {
          "factor": "occurring_at_different_intervals_not_daily",
          "met": true
        },
        {
          "factor": "severe_enough_to_interrupt_activities_or_ed_visit",
          "met": true
        },
        {
          "factor": "not_significantly_related_to_bowel_movements",
          "met": true
        },
        {
          "factor": "not_significantly_relieved_by_postural_change_or_acid_suppression",
          "met": true
        },
        {
          "factor": "nausea_and_vomiting",
          "met": true
        },
        {
          "factor": "radiation_to_back_or_right_infra_subscapular",
          "met": true
        },
        {
          "factor": "waking_from_sleep",
          "met": 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": "rome_iv_biliary_pain",
      "formula_expression": "rome_iv_biliary_pain iff epigastric_or_ruq_pain and builds_to_steady_level_lasts_30_min_or_longer and occurring_at_different_intervals_not_daily and severe_enough_to_interrupt_activities_or_ed_visit and not_significantly_related_to_bowel_movements and not_significantly_relieved_by_postural_change_or_acid_suppression (Cotton 2016 Rome IV E1 biliary pain). Supportive nausea_and_vomiting, radiation_to_back_or_right_infra_subscapular, waking_from_sleep are reported and not required.",
      "nausea_and_vomiting": true,
      "radiation_to_back_or_right_infra_subscapular": true,
      "rome_iv_biliary_pain": true,
      "waking_from_sleep": true
    }
  ],
  "path": "/api/calc/rome_iv_biliary_pain"
}

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/rome_iv_biliary_pain' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"builds_to_steady_level_lasts_30_min_or_longer":true,"epigastric_or_ruq_pain":true,"nausea_and_vomiting":true,"not_significantly_related_to_bowel_movements":true,"not_significantly_relieved_by_postural_change_or_acid_suppression":true,"occurring_at_different_intervals_not_daily":true,"radiation_to_back_or_right_infra_subscapular":true,"severe_enough_to_interrupt_activities_or_ed_visit":true,"waking_from_sleep":true},{"builds_to_steady_level_lasts_30_min_or_longer":true,"epigastric_or_ruq_pain":true,"nausea_and_vomiting":true,"not_significantly_related_to_bowel_movements":true,"not_significantly_relieved_by_postural_change_or_acid_suppression":true,"occurring_at_different_intervals_not_daily":true,"radiation_to_back_or_right_infra_subscapular":true,"severe_enough_to_interrupt_activities_or_ed_visit":true,"waking_from_sleep":true}]}'

# 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/rome_iv_biliary_pain' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"builds_to_steady_level_lasts_30_min_or_longer":true,"epigastric_or_ruq_pain":true,"nausea_and_vomiting":true,"not_significantly_related_to_bowel_movements":true,"not_significantly_relieved_by_postural_change_or_acid_suppression":true,"occurring_at_different_intervals_not_daily":true,"radiation_to_back_or_right_infra_subscapular":true,"severe_enough_to_interrupt_activities_or_ed_visit":true,"waking_from_sleep":true},{"builds_to_steady_level_lasts_30_min_or_longer":true,"epigastric_or_ruq_pain":true,"nausea_and_vomiting":true,"not_significantly_related_to_bowel_movements":true,"not_significantly_relieved_by_postural_change_or_acid_suppression":true,"occurring_at_different_intervals_not_daily":true,"radiation_to_back_or_right_infra_subscapular":true,"severe_enough_to_interrupt_activities_or_ed_visit":true,"waking_from_sleep":true}]}' \
  | 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%2Frome_iv_biliary_pain&method=POST
const res = await pay("https://api.magentlab.com/api/calc/rome_iv_biliary_pain", {
  method: "POST",
  headers: { "content-type": "application/json" },
  body: JSON.stringify({
    "items": [
      {
        "builds_to_steady_level_lasts_30_min_or_longer": true,
        "epigastric_or_ruq_pain": true,
        "nausea_and_vomiting": true,
        "not_significantly_related_to_bowel_movements": true,
        "not_significantly_relieved_by_postural_change_or_acid_suppression": true,
        "occurring_at_different_intervals_not_daily": true,
        "radiation_to_back_or_right_infra_subscapular": true,
        "severe_enough_to_interrupt_activities_or_ed_visit": true,
        "waking_from_sleep": true
      },
      {
        "builds_to_steady_level_lasts_30_min_or_longer": true,
        "epigastric_or_ruq_pain": true,
        "nausea_and_vomiting": true,
        "not_significantly_related_to_bowel_movements": true,
        "not_significantly_relieved_by_postural_change_or_acid_suppression": true,
        "occurring_at_different_intervals_not_daily": true,
        "radiation_to_back_or_right_infra_subscapular": true,
        "severe_enough_to_interrupt_activities_or_ed_visit": true,
        "waking_from_sleep": true
      }
    ]
  }),
});
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/rome_iv_biliary_pain",
        json={
            "items": [
                {
                    "builds_to_steady_level_lasts_30_min_or_longer": True,
                    "epigastric_or_ruq_pain": True,
                    "nausea_and_vomiting": True,
                    "not_significantly_related_to_bowel_movements": True,
                    "not_significantly_relieved_by_postural_change_or_acid_suppression": True,
                    "occurring_at_different_intervals_not_daily": True,
                    "radiation_to_back_or_right_infra_subscapular": True,
                    "severe_enough_to_interrupt_activities_or_ed_visit": True,
                    "waking_from_sleep": True,
                },
                {
                    "builds_to_steady_level_lasts_30_min_or_longer": True,
                    "epigastric_or_ruq_pain": True,
                    "nausea_and_vomiting": True,
                    "not_significantly_related_to_bowel_movements": True,
                    "not_significantly_relieved_by_postural_change_or_acid_suppression": True,
                    "occurring_at_different_intervals_not_daily": True,
                    "radiation_to_back_or_right_infra_subscapular": True,
                    "severe_enough_to_interrupt_activities_or_ed_visit": True,
                    "waking_from_sleep": True,
                },
            ],
        },
    )
    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
3 h ago	Passed	402	284 ms	$0.007
8 h ago	Passed	402	466 ms	$0.007
12 h ago	Passed	402	190 ms	$0.007
17 h ago	Passed	402	437 ms	$0.007
22 h ago	Passed	402	259 ms	$0.007

Show 10 older checks

26 h ago	Passed	402	413 ms	$0.007
30 h ago	Passed	402	238 ms	$0.007
34 h ago	Passed	402	283 ms	$0.007
38 h ago	Passed	402	437 ms	$0.007
43 h ago	Passed	402	307 ms	$0.007
47 h ago	Passed	402	513 ms	$0.007
2 days ago	Passed	402	173 ms	$0.007
2 days ago	Passed	402	276 ms	$0.007
2 days ago	Passed	402	215 ms	$0.007
3 days ago	Passed	402	144 ms	$0.007

History

11 Oct 2026	Price changed from $0.005 to $0.007

Trust score 71/ 100

Availability (30-day uptime)		30 / 30
Valid x402 challenge		15 / 15
Response time		10 / 10
Real paying agents (30 days)		6 / 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: 3 in 30 days
Paid calls: 6 in 30 days
Last paid call: 3 days ago

Source: x402 Bazaar settlement data.

Is this your service?

Verify ownership to get the badge and 10 more trust points. Featured placement needs it too.

Verify ownership

Changed something? Check it again now and see what agents get.

Show the score

A badge for your README or docs. It updates with every check and links here.

Trust score

[![ToolVet trust score](https://toolvet.app/badge/calc-rome-iv-biliary-pain.svg)](https://toolvet.app/s/calc-rome-iv-biliary-pain)