Calc Rome Iv Biliary Sod

{
  "count": 2,
  "items": [
    {
      "abnormal_sphincter_of_oddi_manometry": 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": "elevated_liver_enzymes_xor_dilated_bile_duct",
          "met": true,
          "value": {
            "dilated_bile_duct": false,
            "elevated_liver_enzymes": true
          }
        },
        {
          "factor": "absence_of_bile_duct_stones_or_other_structural_abnormalities",
          "met": true
        },
        {
          "factor": "normal_amylase_lipase",
          "met": true
        },
        {
          "factor": "abnormal_sphincter_of_oddi_manometry",
          "met": true
        },
        {
          "factor": "hepatobiliary_scintigraphy",
          "met": true
        }
      ],
      "dilated_bile_duct": 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.",
      "elevated_liver_enzymes": true,
      "formula": "rome_iv_biliary_sod",
      "formula_expression": "rome_iv_biliary_sod 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 and enzymes_xor_dilated and absence_of_bile_duct_stones_or_other_structural_abnormalities; enzymes_xor_dilated is (elevated_liver_enzymes and not dilated_bile_duct) or (dilated_bile_duct and not elevated_liver_enzymes); normal_amylase_lipase, abnormal_sphincter_of_oddi_manometry, and hepatobiliary_scintigraphy are supportive and not required (Cotton 2016 Rome IV E1b)",
      "hepatobiliary_scintigraphy": true,
      "normal_amylase_lipase": true,
      "rome_iv_biliary_sod": true
    },
    {
      "abnormal_sphincter_of_oddi_manometry": 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": "elevated_liver_enzymes_xor_dilated_bile_duct",
          "met": true,
          "value": {
            "dilated_bile_duct": false,
            "elevated_liver_enzymes": true
          }
        },
        {
          "factor": "absence_of_bile_duct_stones_or_other_structural_abnormalities",
          "met": true
        },
        {
          "factor": "normal_amylase_lipase",
          "met": true
        },
        {
          "factor": "abnormal_sphincter_of_oddi_manometry",
          "met": true
        },
        {
          "factor": "hepatobiliary_scintigraphy",
          "met": true
        }
      ],
      "dilated_bile_duct": 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.",
      "elevated_liver_enzymes": true,
      "formula": "rome_iv_biliary_sod",
      "formula_expression": "rome_iv_biliary_sod 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 and enzymes_xor_dilated and absence_of_bile_duct_stones_or_other_structural_abnormalities; enzymes_xor_dilated is (elevated_liver_enzymes and not dilated_bile_duct) or (dilated_bile_duct and not elevated_liver_enzymes); normal_amylase_lipase, abnormal_sphincter_of_oddi_manometry, and hepatobiliary_scintigraphy are supportive and not required (Cotton 2016 Rome IV E1b)",
      "hepatobiliary_scintigraphy": true,
      "normal_amylase_lipase": true,
      "rome_iv_biliary_sod": true
    }
  ],
  "path": "/api/calc/rome_iv_biliary_sod"
}

# 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_sod' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"abnormal_sphincter_of_oddi_manometry":true,"absence_of_bile_duct_stones_or_other_structural_abnormalities":true,"builds_to_steady_level_lasts_30_min_or_longer":true,"dilated_bile_duct":false,"elevated_liver_enzymes":true,"epigastric_or_ruq_pain":true,"hepatobiliary_scintigraphy":true,"normal_amylase_lipase":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,"severe_enough_to_interrupt_activities_or_ed_visit":true},{"abnormal_sphincter_of_oddi_manometry":true,"absence_of_bile_duct_stones_or_other_structural_abnormalities":true,"builds_to_steady_level_lasts_30_min_or_longer":true,"dilated_bile_duct":false,"elevated_liver_enzymes":true,"epigastric_or_ruq_pain":true,"hepatobiliary_scintigraphy":true,"normal_amylase_lipase":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,"severe_enough_to_interrupt_activities_or_ed_visit":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_sod' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"abnormal_sphincter_of_oddi_manometry":true,"absence_of_bile_duct_stones_or_other_structural_abnormalities":true,"builds_to_steady_level_lasts_30_min_or_longer":true,"dilated_bile_duct":false,"elevated_liver_enzymes":true,"epigastric_or_ruq_pain":true,"hepatobiliary_scintigraphy":true,"normal_amylase_lipase":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,"severe_enough_to_interrupt_activities_or_ed_visit":true},{"abnormal_sphincter_of_oddi_manometry":true,"absence_of_bile_duct_stones_or_other_structural_abnormalities":true,"builds_to_steady_level_lasts_30_min_or_longer":true,"dilated_bile_duct":false,"elevated_liver_enzymes":true,"epigastric_or_ruq_pain":true,"hepatobiliary_scintigraphy":true,"normal_amylase_lipase":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,"severe_enough_to_interrupt_activities_or_ed_visit":true}]}' \
  | 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%2Frome_iv_biliary_sod&method=POST
const res = await pay("https://api.magentlab.com/api/calc/rome_iv_biliary_sod", {
  method: "POST",
  headers: { "content-type": "application/json" },
  body: JSON.stringify({
    "items": [
      {
        "abnormal_sphincter_of_oddi_manometry": true,
        "absence_of_bile_duct_stones_or_other_structural_abnormalities": true,
        "builds_to_steady_level_lasts_30_min_or_longer": true,
        "dilated_bile_duct": false,
        "elevated_liver_enzymes": true,
        "epigastric_or_ruq_pain": true,
        "hepatobiliary_scintigraphy": true,
        "normal_amylase_lipase": 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,
        "severe_enough_to_interrupt_activities_or_ed_visit": true
      },
      {
        "abnormal_sphincter_of_oddi_manometry": true,
        "absence_of_bile_duct_stones_or_other_structural_abnormalities": true,
        "builds_to_steady_level_lasts_30_min_or_longer": true,
        "dilated_bile_duct": false,
        "elevated_liver_enzymes": true,
        "epigastric_or_ruq_pain": true,
        "hepatobiliary_scintigraphy": true,
        "normal_amylase_lipase": 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,
        "severe_enough_to_interrupt_activities_or_ed_visit": true
      }
    ]
  }),
});
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/rome_iv_biliary_sod",
        json={
            "items": [
                {
                    "abnormal_sphincter_of_oddi_manometry": True,
                    "absence_of_bile_duct_stones_or_other_structural_abnormalities": True,
                    "builds_to_steady_level_lasts_30_min_or_longer": True,
                    "dilated_bile_duct": False,
                    "elevated_liver_enzymes": True,
                    "epigastric_or_ruq_pain": True,
                    "hepatobiliary_scintigraphy": True,
                    "normal_amylase_lipase": 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,
                    "severe_enough_to_interrupt_activities_or_ed_visit": True,
                },
                {
                    "abnormal_sphincter_of_oddi_manometry": True,
                    "absence_of_bile_duct_stones_or_other_structural_abnormalities": True,
                    "builds_to_steady_level_lasts_30_min_or_longer": True,
                    "dilated_bile_duct": False,
                    "elevated_liver_enzymes": True,
                    "epigastric_or_ruq_pain": True,
                    "hepatobiliary_scintigraphy": True,
                    "normal_amylase_lipase": 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,
                    "severe_enough_to_interrupt_activities_or_ed_visit": True,
                },
            ],
        },
    )
    print(res.status_code, res.text)