# HAPS

HAPS

Status: LIVE
Price: $0.005 USDC
`GET /api/calc/haps`
HTML: https://magentlab.com/docs/haps
Markdown: https://magentlab.com/docs/haps.md

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

## What it computes

Apply the Lankisch 2009 harmless acute pancreatitis score and return whether the three published criteria all hold (haps_harmless).

## When to use

When an agent already has rebound tenderness and/or guarding, hematocrit, and serum creatinine assigned as normal or not, as in Lankisch 2009, and needs the published harmless result. magent does not measure hematocrit or creatinine.

## When not to use

- Not a medical device.
- Not a discharge order. Harmless on HAPS is not an instruction to discharge.
- Not a diagnosis. magent does not diagnose pancreatitis or grade severity beyond the published Lankisch 2009 algorithm.
- The caller assigns rebound tenderness and/or guarding as already determined. magent does not examine the abdomen.
- magent does not measure hematocrit or serum creatinine. hematocrit_normal and creatinine_normal are caller-assigned flags. This tool does not apply millimetre or sex cutoffs.

## Formula

```
harmless iff no rebound tenderness and/or guarding and normal hematocrit and normal serum creatinine
```

## Citation

[The harmless acute pancreatitis score: a clinical algorithm for rapid initial stratification of nonsevere disease](https://doi.org/10.1016/j.cgh.2009.02.020)
Lankisch PG, Weber-Dany B, Hebel K, Maisonneuve P, Lowenfels AB
Clin Gastroenterol Hepatol. 2009;7(6):702-705
DOI: [10.1016/j.cgh.2009.02.020](https://doi.org/10.1016/j.cgh.2009.02.020)

## Worked example

### All three harmless conditions hold

Given: `creatinine_normal=true, hematocrit_normal=true, rebound_or_guarding=false`

1. Rebound tenderness and/or guarding is absent
2. Hematocrit is normal and serum creatinine is normal as assigned by the caller
3. HAPS is harmless


## Also searched as

- HAPS
- harmless acute pancreatitis score
- Lankisch HAPS
- Lankisch 2009
- harmless pancreatitis score
- HAPS pancreatitis
- harmless AP score

## Parameters

- `rebound_or_guarding` (boolean, required): Rebound tenderness and/or guarding. true means present and the harmless criterion fails. true or false as assigned by the caller. magent does not examine the abdomen.
- `hematocrit_normal` (boolean, required): Hematocrit is normal as assigned by the caller. true means normal and the harmless criterion holds; false means not normal. magent does not measure hematocrit and does not apply a millimetre or sex cutoff.
- `creatinine_normal` (boolean, required): Serum creatinine is normal as assigned by the caller. true means normal and the harmless criterion holds; false means not normal. magent does not measure creatinine and does not apply a millimetre or sex cutoff.

## 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/haps`
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": [
    {
      "creatinine_normal": "true",
      "hematocrit_normal": "true",
      "rebound_or_guarding": "false"
    },
    {
      "creatinine_normal": "true",
      "hematocrit_normal": "true",
      "rebound_or_guarding": "false"
    }
  ]
}
```

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

Example 200:

```json
{
  "count": 2,
  "path": "/api/calc/haps",
  "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": "Lankisch PG, Weber-Dany B, Hebel K, Maisonneuve P, Lowenfels AB",
        "doi": "10.1016/j.cgh.2009.02.020",
        "id": "lankisch-2009",
        "pmid": "19245846",
        "source": "Clin Gastroenterol Hepatol. 2009;7(6):702-705",
        "title": "The harmless acute pancreatitis score: a clinical algorithm for rapid initial stratification of nonsevere disease"
      },
      "formula": "haps",
      "formula_expression": "harmless iff no rebound tenderness and/or guarding and normal hematocrit and normal serum creatinine",
      "criteria": [
        {
          "factor": "no_rebound_or_guarding",
          "met": true
        },
        {
          "factor": "hematocrit_normal",
          "met": true
        },
        {
          "factor": "creatinine_normal",
          "met": true
        }
      ],
      "haps_harmless": 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": "Lankisch PG, Weber-Dany B, Hebel K, Maisonneuve P, Lowenfels AB",
        "doi": "10.1016/j.cgh.2009.02.020",
        "id": "lankisch-2009",
        "pmid": "19245846",
        "source": "Clin Gastroenterol Hepatol. 2009;7(6):702-705",
        "title": "The harmless acute pancreatitis score: a clinical algorithm for rapid initial stratification of nonsevere disease"
      },
      "formula": "haps",
      "formula_expression": "harmless iff no rebound tenderness and/or guarding and normal hematocrit and normal serum creatinine",
      "criteria": [
        {
          "factor": "no_rebound_or_guarding",
          "met": true
        },
        {
          "factor": "hematocrit_normal",
          "met": true
        },
        {
          "factor": "creatinine_normal",
          "met": true
        }
      ],
      "haps_harmless": true
    }
  ]
}
```

## Response fields

- `formula` (string): haps
- `formula_expression` (string): Lankisch 2009: no rebound/guarding and normal hematocrit and normal creatinine
- `haps_harmless` (boolean): true only when all three harmless conditions hold. Not a diagnosis and not a discharge order.
- `criteria` (array): Per-factor rows with factor and met; met is true when that HAPS harmless condition holds
- `citation` (object): Lankisch 2009 Clin Gastroenterol Hepatol 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": "Lankisch PG, Weber-Dany B, Hebel K, Maisonneuve P, Lowenfels AB",
    "doi": "10.1016/j.cgh.2009.02.020",
    "id": "lankisch-2009",
    "pmid": "19245846",
    "source": "Clin Gastroenterol Hepatol. 2009;7(6):702-705",
    "title": "The harmless acute pancreatitis score: a clinical algorithm for rapid initial stratification of nonsevere disease"
  },
  "formula": "haps",
  "formula_expression": "harmless iff no rebound tenderness and/or guarding and normal hematocrit and normal serum creatinine",
  "criteria": [
    {
      "factor": "no_rebound_or_guarding",
      "met": true
    },
    {
      "factor": "hematocrit_normal",
      "met": true
    },
    {
      "factor": "creatinine_normal",
      "met": true
    }
  ],
  "haps_harmless": 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

- [Ranson](https://magentlab.com/docs/ranson) — Sum the eleven Ranson 1974 prognostic signs (five at admission, six during the first 48 hours) and return the published mortality band.
- [Glasgow-Imrie](https://magentlab.com/docs/glasgow-imrie) — Sum the eight Blamey 1984 Glasgow-Imrie factors and return whether severe pancreatitis is predicted (three or more factors).
- [BISAP](https://magentlab.com/docs/bisap) — Compute the Wu 2008 BISAP score for early prediction of mortality in acute pancreatitis from BUN, caller-assigned impaired mental status, caller-assigned SIRS, age, and caller-assigned pleural effusion.

## 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.
- 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.
