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                    "authors": "Urban P, Mehran R, Colleran R, Angiolillo DJ, Byrne RA, Capodanno D, Cuisset T, Cutlip D, Eerdmans P, Eikelboom J, Farb A, Gibson CM, Gregson J, Haude M, James SK, Kim HS, Kimura T, Konishi A, Laschinger J, Leon MB, Magee PFA, Price MJ, Salett E, Schulz C, Valgimigli M, Varenne O, Yeh RW, Krucoff MW",
                    "doi": "10.1161/CIRCULATIONAHA.119.040167",
                    "id": "urban-2019",
                    "pmid": "31116032",
                    "source": "Circulation. 2019;140(3):240-261",
                    "title": "Defining High Bleeding Risk in Patients Undergoing Percutaneous Coronary Intervention: A Consensus Document From the Academic Research Consortium for High Bleeding Risk"
                  },
                  "criteria": [
                    {
                      "factor": "anticipated_long_term_oac",
                      "met": false
                    },
                    {
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                      "met": false
                    },
                    {
                      "factor": "hemoglobin_lt_11",
                      "met": false
                    },
                    {
                      "factor": "spontaneous_bleed_major",
                      "met": false
                    },
                    {
                      "factor": "thrombocytopenia_lt_100",
                      "met": false
                    },
                    {
                      "factor": "chronic_bleeding_diathesis",
                      "met": false
                    },
                    {
                      "factor": "cirrhosis_with_portal_hypertension",
                      "met": false
                    },
                    {
                      "factor": "active_malignancy_12mo",
                      "met": false
                    },
                    {
                      "factor": "previous_spontaneous_ich",
                      "met": false
                    },
                    {
                      "factor": "traumatic_ich_12mo",
                      "met": false
                    },
                    {
                      "factor": "bavm",
                      "met": false
                    },
                    {
                      "factor": "moderate_severe_ischemic_stroke_6mo",
                      "met": false
                    },
                    {
                      "factor": "nondeferrable_major_surgery_dapt",
                      "met": false
                    },
                    {
                      "factor": "recent_major_surgery_or_trauma_30d",
                      "met": false
                    },
                    {
                      "factor": "age_ge_75",
                      "met": true
                    },
                    {
                      "factor": "moderate_ckd",
                      "met": false
                    },
                    {
                      "factor": "mild_anemia",
                      "met": false
                    },
                    {
                      "factor": "spontaneous_bleed_minor",
                      "met": false
                    },
                    {
                      "factor": "long_term_nsaid_or_steroid",
                      "met": false
                    },
                    {
                      "factor": "any_ischemic_stroke_not_major",
                      "met": 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": "arc_hbr",
                  "formula_expression": "high_bleeding_risk iff major_count >= 1 or minor_count >= 2 (Urban 2019 Table 3). Binary HBR; not a weighted point score. Majors: anticipated_long_term_oac, severe_or_esrd_ckd, hemoglobin_lt_11, spontaneous_bleed_major, thrombocytopenia_lt_100, chronic_bleeding_diathesis, cirrhosis_with_portal_hypertension, active_malignancy_12mo, previous_spontaneous_ich, traumatic_ich_12mo, bavm, moderate_severe_ischemic_stroke_6mo, nondeferrable_major_surgery_dapt, recent_major_surgery_or_trauma_30d. Minors: age_ge_75, moderate_ckd, mild_anemia, spontaneous_bleed_minor, long_term_nsaid_or_steroid, any_ischemic_stroke_not_major",
                  "high_bleeding_risk": false,
                  "major_count": 0,
                  "minor_count": 1
                }
              ],
              "path": "/api/calc/arc_hbr"
            },
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          }
        },
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          "$schema": "https://json-schema.org/draft/2020-12/schema",
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                    "items": {
                      "items": {
                        "properties": {
                          "active_malignancy_12mo": {
                            "description": "Active malignancy (excluding nonmelanoma skin cancer) as assigned by the caller: diagnosis within 12 months and/or ongoing treatment (Urban 2019 Table 3 major). true or false. magent does not diagnose cancer.",
                            "type": "boolean"
                          },
                          "age_ge_75": {
                            "description": "Age ≥75 years as assigned by the caller (Urban 2019 Table 3 minor). true or false. magent does not take a numeric age.",
                            "type": "boolean"
                          },
                          "anticipated_long_term_oac": {
                            "description": "Anticipated use of long-term oral anticoagulation as assigned by the caller (Urban 2019 Table 3 major). Paper footnote excludes vascular-protection doses; that exclusion is a limitation, not a separate param. true or false. magent does not prescribe anticoagulation.",
                            "type": "boolean"
                          },
                          "any_ischemic_stroke_not_major": {
                            "description": "Any ischemic stroke at any time that does not meet the major stroke criterion, as assigned by the caller (Urban 2019 Table 3 minor). Mutually exclusive with moderate_severe_ischemic_stroke_6mo. true or false. magent does not assign NIHSS.",
                            "type": "boolean"
                          },
                          "bavm": {
                            "description": "Brain arteriovenous malformation as assigned by the caller (Urban 2019 Table 3 major). true or false. magent does not read imaging.",
                            "type": "boolean"
                          },
                          "chronic_bleeding_diathesis": {
                            "description": "Chronic bleeding diathesis as assigned by the caller (Urban 2019 Table 3 major). true or false. magent does not diagnose a coagulopathy.",
                            "type": "boolean"
                          },
                          "cirrhosis_with_portal_hypertension": {
                            "description": "Liver cirrhosis with portal hypertension as assigned by the caller (Urban 2019 Table 3 major). true or false. magent does not diagnose cirrhosis.",
                            "type": "boolean"
                          },
                          "hemoglobin_lt_11": {
                            "description": "Hemoglobin <11 g/dL as assigned by the caller (Urban 2019 Table 3 major). Mutually exclusive with mild_anemia. true or false. magent does not assay hemoglobin.",
                            "type": "boolean"
                          },
                          "long_term_nsaid_or_steroid": {
                            "description": "Long-term oral NSAID or steroid use (planned daily intake ≥4 days per week) as assigned by the caller (Urban 2019 Table 3 minor). true or false. magent does not prescribe NSAIDs or steroids.",
                            "type": "boolean"
                          },
                          "mild_anemia": {
                            "description": "Mild anemia (hemoglobin 11–12.9 g/dL in men or 11–11.9 g/dL in women) as assigned by the caller (Urban 2019 Table 3 minor). Mutually exclusive with hemoglobin_lt_11. true or false. magent does not take sex or hemoglobin numbers.",
                            "type": "boolean"
                          },
                          "moderate_ckd": {
                            "description": "Moderate CKD (eGFR 30–59 mL/min) as assigned by the caller (Urban 2019 Table 3 minor). Mutually exclusive with severe_or_esrd_ckd. true or false. magent does not assay creatinine or compute eGFR.",
                            "type": "boolean"
                          },
                          "moderate_severe_ischemic_stroke_6mo": {
                            "description": "Moderate or severe ischemic stroke (NIHSS ≥5 on presentation) within the past 6 months as assigned by the caller (Urban 2019 Table 3 major). Mutually exclusive with any_ischemic_stroke_not_major. true or false. magent does not assign NIHSS.",
                            "type": "boolean"
                          },
                          "nondeferrable_major_surgery_dapt": {
                            "description": "Nondeferrable major surgery on DAPT as assigned by the caller (Urban 2019 Table 3 major). true or false. magent does not schedule surgery.",
                            "type": "boolean"
                          },
                          "previous_spontaneous_ich": {
                            "description": "Previous spontaneous intracranial hemorrhage at any time as assigned by the caller (Urban 2019 Table 3 major). true or false. magent does not read imaging.",
                            "type": "boolean"
                          },
                          "recent_major_surgery_or_trauma_30d": {
                            "description": "Recent major surgery or major trauma within 30 days before PCI as assigned by the caller (Urban 2019 Table 3 major). true or false. magent does not date the event.",
                            "type": "boolean"
                          },
                          "severe_or_esrd_ckd": {
                            "description": "Severe or end-stage CKD (eGFR <30 mL/min) as assigned by the caller (Urban 2019 Table 3 major). Mutually exclusive with moderate_ckd. true or false. magent does not assay creatinine or compute eGFR.",
                            "type": "boolean"
                          },
                          "spontaneous_bleed_major": {
                            "description": "Spontaneous bleeding requiring hospitalization or transfusion in the past 6 months, or recurrent at any time, as assigned by the caller (Urban 2019 Table 3 major). Mutually exclusive with spontaneous_bleed_minor. true or false.",
                            "type": "boolean"
                          },
                          "spontaneous_bleed_minor": {
                            "description": "Spontaneous bleeding requiring hospitalization or transfusion within the past 12 months that does not meet the major criterion, as assigned by the caller (Urban 2019 Table 3 minor). Mutually exclusive with spontaneous_bleed_major. true or false.",
                            "type": "boolean"
                          },
                          "thrombocytopenia_lt_100": {
                            "description": "Baseline platelet count <100×10^9/L before PCI as assigned by the caller (Urban 2019 Table 3 major). true or false. magent does not assay platelets.",
                            "type": "boolean"
                          },
                          "traumatic_ich_12mo": {
                            "description": "Previous traumatic intracranial hemorrhage within the past 12 months as assigned by the caller (Urban 2019 Table 3 major). true or false. magent does not read imaging.",
                            "type": "boolean"
                          }
                        },
                        "required": [
                          "anticipated_long_term_oac",
                          "severe_or_esrd_ckd",
                          "hemoglobin_lt_11",
                          "spontaneous_bleed_major",
                          "thrombocytopenia_lt_100",
                          "chronic_bleeding_diathesis",
                          "cirrhosis_with_portal_hypertension",
                          "active_malignancy_12mo",
                          "previous_spontaneous_ich",
                          "traumatic_ich_12mo",
                          "bavm",
                          "moderate_severe_ischemic_stroke_6mo",
                          "nondeferrable_major_surgery_dapt",
                          "recent_major_surgery_or_trauma_30d",
                          "age_ge_75",
                          "moderate_ckd",
                          "mild_anemia",
                          "spontaneous_bleed_minor",
                          "long_term_nsaid_or_steroid",
                          "any_ischemic_stroke_not_major"
                        ],
                        "type": "object"
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                "method": {
                  "const": "POST",
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                "type": {
                  "const": "http",
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              },
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              "type": "object"
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            "output": {
              "properties": {
                "example": {
                  "type": "object"
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                "type": {
                  "type": "string"
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              "required": [
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              "type": "object"
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          },
          "required": [
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          ],
          "type": "object"
        }
      }
    }
  },
  "liveness": {
    "reliability": null
  },
  "verified": false,
  "featured": false,
  "provider": {
    "host": "api.magentlab.com",
    "manifest_name": "api.magentlab.com",
    "source": "cdp-mirror",
    "source_manifest_url": "https://api.cdp.coinbase.com/platform/v2/x402/discovery/resources",
    "submitted_at": "2026-10-14T01:15:01.050Z"
  },
  "exampleResponse": {
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