Agent Service · x402 · early usage

Keefer 2016 Rome IV NBS (D2)

by api.magentlab.com · discovered, not yet claimed by its owner · updated 2026-10-13

30d calls6

30d payers3

MethodPOST

Outputjson

Mirrored from Coinbase's public x402 Bazaar. The description is the provider's own text and has not been reviewed here; the payment requirements are copied as published.

What it does

Keefer 2016 Rome IV NBS (D2). rome_iv_nbs is true iff chronic or frequently recurring abdominal pain on narcotics, pain not explained by a GI diagnosis, at least two of three NBS features, last-3-months criteria, and 6-month onset. nbs_features_met is 0-3. Caller assigns seven flags. ~75 mg oral morphine equivalent is copy-only. magent does not examine the patient or judge opioid dose. Not a diagnosis, not CAPS, not opioid-induced constipation.

Tags: rome-iv-nbs · nbs · gi · narcotic-bowel · rome-iv · bazaar

Call contract

Method: POST
Input: HTTP request
Output: json
Last paid call: 2026-10-13

Input example from Bazaar metadata

{
  "items": [
    {
      "chronic_or_frequently_recurring_abdominal_pain_on_narcotics": true,
      "fulfilled_last_3_months": true,
      "marked_worsening_when_dose_wanes_improvement_when_reinstituted": true,
      "onset_at_least_6_months": true,
      "pain_not_explained_by_current_or_previous_gi_diagnosis": true,
      "pain_worsens_or_incompletely_resolves_with_continued_or_escalating_narcotics": true,
      "progression_of_frequency_duration_intensity_of_pain_episodes": false
    },
    {
      "chronic_or_frequently_recurring_abdominal_pain_on_narcotics": true,
      "fulfilled_last_3_months": true,
      "marked_worsening_when_dose_wanes_improvement_when_reinstituted": true,
      "onset_at_least_6_months": true,
      "pain_not_explained_by_current_or_previous_gi_diagnosis": true,
      "pain_worsens_or_incompletely_resolves_with_continued_or_escalating_narcotics": true,
      "progression_of_frequency_duration_intensity_of_pain_episodes": false
    }
  ]
}

Output example

{
  "count": 2,
  "items": [
    {
      "citation": {
        "authors": "Keefer L, Drossman DA, Guthrie E, Simrén M, Tillisch K, Olden K, Whorwell PJ",
        "doi": "10.1053/j.gastro.2016.02.034",
        "id": "keefer-2016",
        "pmid": "27144628",
        "source": "Gastroenterology. 2016;150(6):1408-1419",
        "title": "Centrally Mediated Disorders of Gastrointestinal Pain"
      },
      "criteria": [
        {
          "factor": "chronic_or_frequently_recurring_abdominal_pain_on_narcotics",
          "met": true
        },
        {
          "factor": "pain_not_explained_by_current_or_previous_gi_diagnosis",
          "met": true
        },
        {
          "factor": "pain_worsens_or_incompletely_resolves_with_continued_or_escalating_narcotics",
          "met": true
        },
        {
          "factor": "marked_worsening_when_dose_wanes_improvement_when_reinstituted",
          "met": true
        },
        {
          "factor": "progression_of_frequency_duration_intensity_of_pain_episodes",
          "met": false
        },
        {
          "factor": "nbs_features_ge_2",
          "met": true,
          "value": 2
        },
        {
          "factor": "fulfilled_last_3_months",
          "met": true
        },
        {
          "factor": "onset_at_least_6_months",
          "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_nbs",
      "formula_expression": "rome_iv_nbs iff chronic_or_frequently_recurring_abdominal_pain_on_narcotics and pain_not_explained_by_current_or_previous_gi_diagnosis and nbs_features_met >= 2 and fulfilled_last_3_months and onset_at_least_6_months; nbs_features_met counts pain_worsens_or_incompletely_resolves_with_continued_or_escalating_narcotics, marked_worsening_when_dose_wanes_improvement_when_reinstituted, and progression_of_frequency_duration_intensity_of_pain_episodes (Keefer 2016 Rome IV D2 Narcotic Bowel Syndrome / opioid-induced GI hyperalgesia)",
      "nbs_features_met": 2,
      "rome_iv_nbs": true
    },
    {
      "citation": {
        "authors": "Keefer L, Drossman DA, Guthrie E, Simrén M, Tillisch K, Olden K, Whorwell PJ",
        "doi": "10.1053/j.gastro.2016.02.034",
        "id": "keefer-2016",
        "pmid": "27144628",
        "source": "Gastroenterology. 2016;150(6):1408-1419",
        "title": "Centrally Mediated Disorders of Gastrointestinal Pain"
      },
      "criteria": [
        {
          "factor": "chronic_or_frequently_recurring_abdominal_pain_on_narcotics",
          "met": true
        },
        {
          "factor": "pain_not_explained_by_current_or_previous_gi_diagnosis",
          "met": true
        },
        {
          "factor": "pain_worsens_or_incompletely_resolves_with_continued_or_escalating_narcotics",
          "met": true
        },
        {
          "factor": "marked_worsening_when_dose_wanes_improvement_when_reinstituted",
          "met": true
        },
        {
          "factor": "progression_of_frequency_duration_intensity_of_pain_episodes",
          "met": false
        },
        {
          "factor": "nbs_features_ge_2",
          "met": true,
          "value": 2
        },
        {
          "factor": "fulfilled_last_3_months",
          "met": true
        },
        {
          "factor": "onset_at_least_6_months",
          "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_nbs",
      "formula_expression": "rome_iv_nbs iff chronic_or_frequently_recurring_abdominal_pain_on_narcotics and pain_not_explained_by_current_or_previous_gi_diagnosis and nbs_features_met >= 2 and fulfilled_last_3_months and onset_at_least_6_months; nbs_features_met counts pain_worsens_or_incompletely_resolves_with_continued_or_escalating_narcotics, marked_worsening_when_dose_wanes_improvement_when_reinstituted, and progression_of_frequency_duration_intensity_of_pain_episodes (Keefer 2016 Rome IV D2 Narcotic Bowel Syndrome / opioid-induced GI hyperalgesia)",
      "nbs_features_met": 2,
      "rome_iv_nbs": true
    }
  ],
  "path": "/api/calc/rome_iv_nbs"
}

Use with an agent

Discover. Agents find this listing with GET https://bazaar.saylorinnovations.com/discovery/search?query=…, the MCP tool search_resources, or /discovery/resources.
Inspect. Fetch /resources/38835.json for the price and payment options.
Pay. Call GET https://api.magentlab.com/api/calc/rome_iv_nbs. The provider answers 402 with its payment requirements. An x402 client signs one of the options below and retries with PAYMENT-SIGNATURE.
Execute. The provider returns 200 with the data. Agent Bazaar is not in the request path and never sees your payment.

For humans

You don't need an account or an API key; you need a wallet holding a small amount of USDC on Base, and an x402-capable client (see the examples below). Call the endpoint unpaid first to see exactly what it asks for.

Pricing & payment

Price: $0.005 / request
Protocol: x402 v2
Auth: No account or API key. Pay per request.
Networks: Base
Demand: 6 calls · 3 unique payers in 30d (public x402 Bazaar data)

x402 payment requirements

Scheme	Network	Asset	Amount	Pay to	Timeout
exact	Base eip155:8453	USDC	$0.005	0x836Be278f1739fB4308091cD1852F7971Bc19Ee2	600s

accepts[] (raw JSON)

[
  {
    "scheme": "exact",
    "network": "eip155:8453",
    "payTo": "0x836Be278f1739fB4308091cD1852F7971Bc19Ee2",
    "asset": "0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913",
    "amount": "5000",
    "amountUsd": 0.005,
    "maxTimeoutSeconds": 600
  }
]

Schemas

Output schema (JSON Schema)

{
  "properties": {
    "example": {
      "type": "object"
    },
    "type": {
      "type": "string"
    }
  },
  "required": [
    "type"
  ],
  "type": "object"
}

Example shape — generated from the schema, not a captured live response

{
  "example": {},
  "type": "string"
}

Examples

curl

curl "https://api.magentlab.com/api/calc/rome_iv_nbs"
# -> 402 Payment Required, accepts[] lists how to pay
# retry with a PAYMENT-SIGNATURE (or PAYMENT header) once paid

JavaScript

const res = await fetch("https://api.magentlab.com/api/calc/rome_iv_nbs");
if (res.status === 402) {
  const { accepts } = await res.json();
  // pay one of accepts[] via an x402 client, then retry with the payment header
}

Python

import httpx
res = httpx.get("https://api.magentlab.com/api/calc/rome_iv_nbs")
if res.status_code == 402:
    accepts = res.json()["accepts"]
    # pay one of accepts[] via an x402 client, then retry with the payment header

Details

Provider: api.magentlab.com
Endpoint: https://api.magentlab.com/api/calc/rome_iv_nbs
Machine-readable: /resources/38835.json