# Eat, Sleep, Console

Eat, Sleep, Console

Status: LIVE
Price: $0.005 USDC
`GET /api/calc/eat_sleep_console`
HTML: https://magentlab.com/docs/eat-sleep-console
Markdown: https://magentlab.com/docs/eat-sleep-console.md

Not a medical device. Not a diagnosis, dose, or listing recommendation.

## What it computes

Apply the Grossman 2018 Eat, Sleep, Console functional assessment from caller-assigned eat, sleep, and console flags. magent does not examine the infant.

## When to use

When an agent already has Grossman 2018 eat, sleep, and console observations as assigned by the caller and needs the published well_managed result. Not modified Finnegan, not the later ESC Care Tool item list, and not a morphine order.

## When not to use

- Not a diagnosis and not a medical device.
- Not modified Finnegan NAS scoring.
- Not the later ESC Care Tool item list as a second system.
- magent does not observe feeding, sleep, or consolability. All flags are caller-assigned.
- Not a pharmacologic order. magent returns needs_increased_treatment as a boolean only; it does not recommend or compute a morphine dose.

## Formula

```
well_managed iff eat_ok AND sleep_ok AND console_ok (Grossman 2018 Eat, Sleep, Console). eat_ok = eat ≥1 oz per feed or breastfeed well; sleep_ok = sleep undisturbed ≥1 hour; console_ok = consoled within 10 minutes if crying. needs_increased_treatment iff not well_managed. Not modified Finnegan. Not the later ESC Care Tool item list. magent does not examine the infant. Not a morphine order.
```

## Citation

[A Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome](https://doi.org/10.1542/hpeds.2017-0128)
Grossman MR, Lipshaw MJ, Osborn RR, Berkwitt AK
Hosp Pediatr. 2018;8(1):1-6
DOI: [10.1542/hpeds.2017-0128](https://doi.org/10.1542/hpeds.2017-0128)

## Worked example

### All three functions met

Given: `console_ok=true, eat_ok=true, sleep_ok=true`

1. eat_ok true (eat ≥1 oz per feed or breastfeed well, as assigned by the caller)
2. sleep_ok true (sleep undisturbed ≥1 hour)
3. console_ok true (consoled within 10 minutes if crying) → well_managed true; needs_increased_treatment false


### Unable to eat ≥1 oz or breastfeed well

Given: `console_ok=true, eat_ok=false, sleep_ok=true`

1. eat_ok false; sleep_ok true; console_ok true
2. well_managed is false; needs_increased_treatment is true


## Also searched as

- Eat Sleep Console
- ESC assessment
- Grossman ESC
- eat sleep console NAS
- Eat, Sleep, Console
- ESC functional assessment
- neonatal abstinence ESC
- Grossman 2018 ESC

## Parameters

- `eat_ok` (boolean, required): Able to eat ≥1 oz per feed or breastfeed well, as assigned by the caller (Grossman 2018 Eat, Sleep, Console). true or false. magent does not observe feeding.
- `sleep_ok` (boolean, required): Able to sleep undisturbed ≥1 hour, as assigned by the caller (Grossman 2018 Eat, Sleep, Console). true or false. magent does not observe sleep.
- `console_ok` (boolean, required): Able to be consoled, if crying, within 10 minutes, as assigned by the caller (Grossman 2018 Eat, Sleep, Console). true or false. magent does not observe consolability.

## Bulk (POST)

POST the same path with a JSON items array. The first item is the GET unit; each additional item is $0.002. Invalid items return HTTP 400 before settlement.

Method: `POST /api/calc/eat_sleep_console`
Max items: 25
Price: unit_amount + extra_item_amount * (n - 1) (unit 5000 atomic, extra 2000 atomic)
Status: PREVIEW

- 1 to 25 items. Each item uses the same keys as the GET query parameters.
- POST of 1 item costs the same as GET. Lists longer than 25: chunk into multiple POSTs. Extra items still execute; do not pad dummy rows.
- The first invalid item fails the whole request (index in the 400 JSON). You are not charged.
- HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row.
- Catalog misses (empty matches, found=false) stay paid 200s inside that slot.
- x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items.

Example request:

```json
{
  "items": [
    {
      "console_ok": "true",
      "eat_ok": "true",
      "sleep_ok": "true"
    },
    {
      "console_ok": "true",
      "eat_ok": "true",
      "sleep_ok": "true"
    }
  ]
}
```

Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/eat-sleep-console

Example 200:

```json
{
  "count": 2,
  "path": "/api/calc/eat_sleep_console",
  "items": [
    {
      "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.",
      "citation": {
        "authors": "Grossman MR, Lipshaw MJ, Osborn RR, Berkwitt AK",
        "doi": "10.1542/hpeds.2017-0128",
        "id": "grossman-2018",
        "pmid": "29263121",
        "source": "Hosp Pediatr. 2018;8(1):1-6",
        "title": "A Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome"
      },
      "formula": "eat_sleep_console",
      "formula_expression": "well_managed iff eat_ok AND sleep_ok AND console_ok (Grossman 2018 Eat, Sleep, Console). eat_ok = eat ≥1 oz per feed or breastfeed well; sleep_ok = sleep undisturbed ≥1 hour; console_ok = consoled within 10 minutes if crying. needs_increased_treatment iff not well_managed. Not modified Finnegan. Not the later ESC Care Tool item list. magent does not examine the infant. Not a morphine order.",
      "criteria": [
        {
          "factor": "eat_ok",
          "met": true
        },
        {
          "factor": "sleep_ok",
          "met": true
        },
        {
          "factor": "console_ok",
          "met": true
        }
      ],
      "needs_increased_treatment": false,
      "well_managed": 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.",
      "citation": {
        "authors": "Grossman MR, Lipshaw MJ, Osborn RR, Berkwitt AK",
        "doi": "10.1542/hpeds.2017-0128",
        "id": "grossman-2018",
        "pmid": "29263121",
        "source": "Hosp Pediatr. 2018;8(1):1-6",
        "title": "A Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome"
      },
      "formula": "eat_sleep_console",
      "formula_expression": "well_managed iff eat_ok AND sleep_ok AND console_ok (Grossman 2018 Eat, Sleep, Console). eat_ok = eat ≥1 oz per feed or breastfeed well; sleep_ok = sleep undisturbed ≥1 hour; console_ok = consoled within 10 minutes if crying. needs_increased_treatment iff not well_managed. Not modified Finnegan. Not the later ESC Care Tool item list. magent does not examine the infant. Not a morphine order.",
      "criteria": [
        {
          "factor": "eat_ok",
          "met": true
        },
        {
          "factor": "sleep_ok",
          "met": true
        },
        {
          "factor": "console_ok",
          "met": true
        }
      ],
      "needs_increased_treatment": false,
      "well_managed": true
    }
  ]
}
```

## Response fields

- `formula` (string): eat_sleep_console
- `formula_expression` (string): Published Grossman 2018 Eat, Sleep, Console well-managed rule
- `well_managed` (boolean): true iff eat_ok, sleep_ok, and console_ok all hold. Not a diagnosis. Not modified Finnegan.
- `needs_increased_treatment` (boolean): true iff not well_managed. Alert the team / increase nonpharm or start morphine per Grossman 2018. magent returns the boolean only, not a dose.
- `criteria` (array): Per-factor Tree rows eat_ok, sleep_ok, and console_ok, each with factor and met
- `citation` (object): Grossman 2018 Hosp Pediatr Eat, Sleep, Console citation
- `disclaimer` (string): Not-a-device notice

## Example JSON

Frozen fixture. Not a live lookup.

```json
{
  "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.",
  "citation": {
    "authors": "Grossman MR, Lipshaw MJ, Osborn RR, Berkwitt AK",
    "doi": "10.1542/hpeds.2017-0128",
    "id": "grossman-2018",
    "pmid": "29263121",
    "source": "Hosp Pediatr. 2018;8(1):1-6",
    "title": "A Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome"
  },
  "formula": "eat_sleep_console",
  "formula_expression": "well_managed iff eat_ok AND sleep_ok AND console_ok (Grossman 2018 Eat, Sleep, Console). eat_ok = eat ≥1 oz per feed or breastfeed well; sleep_ok = sleep undisturbed ≥1 hour; console_ok = consoled within 10 minutes if crying. needs_increased_treatment iff not well_managed. Not modified Finnegan. Not the later ESC Care Tool item list. magent does not examine the infant. Not a morphine order.",
  "criteria": [
    {
      "factor": "eat_ok",
      "met": true
    },
    {
      "factor": "sleep_ok",
      "met": true
    },
    {
      "factor": "console_ok",
      "met": true
    }
  ],
  "needs_increased_treatment": false,
  "well_managed": true
}
```

## Errors

- HTTP 400 `invalid_flag`: boolean clinical flags must be true or false Returned before settlement; you are not charged.
- HTTP 400 `invalid_items`: POST body must be a JSON object with only an items array Returned before settlement; you are not charged.
- HTTP 400 `invalid_item_count`: items must be an array of 1 to 25 objects Returned before settlement; you are not charged.
- HTTP 400 `invalid_item`: each items entry must be a JSON object Returned before settlement; you are not charged.

Shared HTTP 402 and 503: https://magentlab.com/docs/payments

## Related tools

- [Apgar score](https://magentlab.com/docs/apgar) — Compute the Apgar newborn evaluation score as the sum of five caller-assigned 0-2 signs.
- [WAT-1](https://magentlab.com/docs/wat-1) — Sum the eleven Franck 2008 WAT-1 items (ten caller-assigned 0/1 signs and time_to_calm 0-2) and return the published 0-12 total plus wat1_ge_3 (true iff score ≥3 versus NRS ≥4).

## Payment

Unpaid requests return HTTP 402 even if query parameters or POST items are missing or invalid, so CDP and agents can index the path. After a PAYMENT-SIGNATURE, invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s.

- GET the tool with Accept: application/json (do not send Accept: text/html unless you want the human paywall).
- HTTP 402 means you have not paid. Decode the base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote.
- Sign accepts[0] (exact, EIP-3009) with validBefore = now + maxTimeoutSeconds (600 seconds), or accepts[1] (batch-settlement deposit/voucher) on product GET. Ping and POST {items} stay exact. Magent retries transient facilitator 429/5xx before answering.
- Retry the same URL with PAYMENT-SIGNATURE (base64 JSON of accepted and payload). Magent attaches canonical extensions.bazaar on CDP verify/settle; echoing 402 bazaar is optional.
- Success is HTTP 200 JSON plus PAYMENT-RESPONSE. exact settles before the tool. batch-settlement verifies (and deposit-settles) before the tool and commits the charge after HTTP 2xx. HTTP 503: retry the same PAYMENT-SIGNATURE. Mint a new exact nonce only after a new HTTP 402.

- offered `exact` on eip155:8453: Fixed-price USDC on Base. The buyer authorizes the advertised amount (EIP-3009). magent settles before the tool runs (paymentFlow upfront). extra.assetTransferMethod=eip3009 extra.paymentFlow=upfront.
- offered `batch-settlement` on eip155:8453: Payment-channel vouchers claimed later in batches. Exact stays accepts[0]. Same-path POST {items} is still exact. extra.assetTransferMethod=eip3009 extra.paymentFlow=authorization.

- not offered `upto`: Not offered. Usage-based: buyer authorizes a ceiling, seller settles the actual amount after work. Reserved for a future metered tool. Not for current calculators or code search.

Same-path POST {items} is still scheme exact: one EIP-3009 authorization for GET unit plus $0.002 per extra item. That is not x402 batch-settlement (payment channels / vouchers).

Shared HTTP 402 and 503 table: https://magentlab.com/docs/payments

Stdio MCP (one process per host): https://magentlab.com/docs/mcp

## Guarantees

- HTTP 402 is unpaid, including a missing query. After PAYMENT-SIGNATURE, invalid parameters return HTTP 400 before settlement. You are not charged. HTTP 402 never includes the tool JSON.
- exact: settlement finishes before the tool (paymentFlow upfront). batch-settlement: verify/deposit before the tool; chargedCumulativeAmount commits after HTTP 2xx. Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE.
- HTTP 402 is unpaid only. Do not sign a second authorization because of a 503.
- Execution is timeout-bounded and concurrency-capped.
- Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.