Neurology · LIVE
Neck Disability Index
NDI
Sum ten caller-assigned Vernon 1991 Neck Disability Index sections (each integer 0-5) and return the published 0-50 total with that paper's raw-score disability bands.
Markdown: /docs/ndi.md · Canonical: https://magentlab.com/docs/ndi
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Sum ten caller-assigned Vernon 1991 Neck Disability Index sections (each integer 0-5) and return the published 0-50 total with that paper's raw-score disability bands.
When to use
When an agent already has Vernon 1991 integers 0-5 for the ten NDI sections and needs the published total and raw 0-50 bands. magent does not interview the patient, diagnose neck disease, score Oswestry, or apply later percentage website cutoffs.
When not to use
- Not a medical device and not a diagnosis of neck pathology or a treatment order.
- Each of the ten sections is a caller-assigned integer 0-5. magent does not interview the patient.
- Vernon 1991 scored the raw 0-50 total. Bands are 0-4 none, 5-14 mild, 15-24 moderate, 25-34 severe, and >34 complete. magent does not convert to a 0-100 percent or apply later 0-8%/10-28% website percentage bands.
- This is Vernon 1991 NDI only. magent does not score the Oswestry Low Back Pain Disability Questionnaire.
Formula
NDI = pain_intensity + personal_care + lifting + reading + headaches + concentration + work + driving + sleeping + recreation; each caller-assigned 0-5; Vernon 1991 ten sections; max 50; raw 0-50 bands 0-4 none, 5-14 mild, 15-24 moderate, 25-34 severe, >34 complete
Citation
- Authors
- Vernon H, Mior S
- Source
- J Manipulative Physiol Ther. 1991;14(7):409-415
- DOI
- none
Worked example
All items 0
Given:
concentration=0driving=0headaches=0lifting=0pain_intensity=0personal_care=0reading=0recreation=0sleeping=0work=0
- pain_intensity, personal_care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation are 0 as assigned by the caller
- Score = 0 (max 50); disability none (Vernon 1991 raw 0-4)
All items 5
Given:
concentration=5driving=5headaches=5lifting=5pain_intensity=5personal_care=5reading=5recreation=5sleeping=5work=5
- each of the ten Vernon 1991 sections is 5 as assigned by the caller
- Score = 50 (max 50); disability complete (Vernon 1991 raw >34)
Also searched as
- NDI
- Neck Disability Index
- Vernon NDI
- neck pain disability
- NDI score
- Vernon 1991 NDI
- cervical disability index
- neck disability questionnaire
- NDI 0-50
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
Full URL: https://api.magentlab.com/api/calc/ndi?pain_intensity=0&personal_care=0&lifting=0&reading=0&headaches=0&concentration=0&work=0&driving=0&sleeping=0&recreation=0
Call
Expect HTTP 402 until you retry with PAYMENT-SIGNATURE. Incomplete query params
return HTTP 400 before any quote or charge.
curl -i -H "Accept: application/json" "https://api.magentlab.com/api/calc/ndi?pain_intensity=0&personal_care=0&lifting=0&reading=0&headaches=0&concentration=0&work=0&driving=0&sleeping=0&recreation=0"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
pain_intensity |
integer | required | Caller-assigned Vernon 1991 NDI pain intensity (integer 0-5): 0 no pain at the moment through 5 worst imaginable pain at the moment. magent does not interview the patient. |
personal_care |
integer | required | Caller-assigned Vernon 1991 NDI personal care (washing, dressing) (integer 0-5): 0 looks after self normally without extra pain through 5 does not get dressed, washes with difficulty and stays in bed. magent does not interview the patient. |
lifting |
integer | required | Caller-assigned Vernon 1991 NDI lifting (integer 0-5): 0 can lift heavy weights without extra pain through 5 cannot lift or carry anything. magent does not interview the patient. |
reading |
integer | required | Caller-assigned Vernon 1991 NDI reading (integer 0-5): 0 can read as much as wanted with no neck pain through 5 cannot read at all. magent does not interview the patient. |
headaches |
integer | required | Caller-assigned Vernon 1991 NDI headaches (integer 0-5): 0 no headaches through 5 headaches almost all the time. magent does not interview the patient. |
concentration |
integer | required | Caller-assigned Vernon 1991 NDI concentration (integer 0-5): 0 can concentrate fully with no difficulty through 5 cannot concentrate at all. magent does not interview the patient. |
work |
integer | required | Caller-assigned Vernon 1991 NDI work (integer 0-5): 0 can do as much work as wanted through 5 cannot do any work at all. magent does not interview the patient. |
driving |
integer | required | Caller-assigned Vernon 1991 NDI driving (integer 0-5): 0 can drive without neck pain through 5 cannot drive at all. magent does not interview the patient. |
sleeping |
integer | required | Caller-assigned Vernon 1991 NDI sleeping (integer 0-5): 0 no trouble sleeping through 5 sleep completely disturbed (5-7 hours sleepless). magent does not interview the patient. |
recreation |
integer | required | Caller-assigned Vernon 1991 NDI recreation (integer 0-5): 0 can engage in all recreation activities with no neck pain through 5 cannot do any recreation activities. magent does not interview the patient. |
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.
- 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 (fixture)
{
"items": [
{
"concentration": "0",
"driving": "0",
"headaches": "0",
"lifting": "0",
"pain_intensity": "0",
"personal_care": "0",
"reading": "0",
"recreation": "0",
"sleeping": "0",
"work": "0"
},
{
"concentration": "0",
"driving": "0",
"headaches": "0",
"lifting": "0",
"pain_intensity": "0",
"personal_care": "0",
"reading": "0",
"recreation": "0",
"sleeping": "0",
"work": "0"
}
]
}
Opens a two-item fixture on the API host. Unpaid browsers get the same MetaMask paywall as GET; Pay retries POST with those items.
Example 200 (fixture)
{
"count": 2,
"path": "/api/calc/ndi",
"items": [
{
"components": [
{
"value": 0,
"factor": "pain_intensity",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "personal_care",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "lifting",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "reading",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "headaches",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "concentration",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "work",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "driving",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "sleeping",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "recreation",
"points": 0,
"present": 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": "Vernon H, Mior S",
"id": "vernon-1991",
"pmid": "1834753",
"source": "J Manipulative Physiol Ther. 1991;14(7):409-415",
"title": "The Neck Disability Index: a study of reliability and validity"
},
"formula": "ndi",
"formula_expression": "NDI = pain_intensity + personal_care + lifting + reading + headaches + concentration + work + driving + sleeping + recreation; each caller-assigned 0-5; Vernon 1991 ten sections; max 50; raw 0-50 bands 0-4 none, 5-14 mild, 15-24 moderate, 25-34 severe, >34 complete",
"max_score": 50,
"score": 0,
"disability": "none"
},
{
"components": [
{
"value": 0,
"factor": "pain_intensity",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "personal_care",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "lifting",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "reading",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "headaches",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "concentration",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "work",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "driving",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "sleeping",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "recreation",
"points": 0,
"present": 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": "Vernon H, Mior S",
"id": "vernon-1991",
"pmid": "1834753",
"source": "J Manipulative Physiol Ther. 1991;14(7):409-415",
"title": "The Neck Disability Index: a study of reliability and validity"
},
"formula": "ndi",
"formula_expression": "NDI = pain_intensity + personal_care + lifting + reading + headaches + concentration + work + driving + sleeping + recreation; each caller-assigned 0-5; Vernon 1991 ten sections; max 50; raw 0-50 bands 0-4 none, 5-14 mild, 15-24 moderate, 25-34 severe, >34 complete",
"max_score": 50,
"score": 0,
"disability": "none"
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | ndi |
formula_expression |
string | Exact expression used |
score |
integer | Vernon 1991 sum of ten caller-assigned 0-5 sections (total 0-50) |
max_score |
integer | Always 50 |
disability |
string | Vernon 1991 raw 0-50 bands: none (0-4), mild (5-14), moderate (15-24), severe (25-34), complete (>34). Not a diagnosis. |
components |
array | Per-section caller-assigned points |
citation |
object | Vernon and Mior J Manipulative Physiol Ther 1991 citation |
disclaimer |
string | Not-a-device notice |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"components": [
{
"value": 0,
"factor": "pain_intensity",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "personal_care",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "lifting",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "reading",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "headaches",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "concentration",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "work",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "driving",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "sleeping",
"points": 0,
"present": true
},
{
"value": 0,
"factor": "recreation",
"points": 0,
"present": 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": "Vernon H, Mior S",
"id": "vernon-1991",
"pmid": "1834753",
"source": "J Manipulative Physiol Ther. 1991;14(7):409-415",
"title": "The Neck Disability Index: a study of reliability and validity"
},
"formula": "ndi",
"formula_expression": "NDI = pain_intensity + personal_care + lifting + reading + headaches + concentration + work + driving + sleeping + recreation; each caller-assigned 0-5; Vernon 1991 ten sections; max 50; raw 0-50 bands 0-4 none, 5-14 mild, 15-24 moderate, 25-34 severe, >34 complete",
"max_score": 50,
"score": 0,
"disability": "none"
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_ndi |
NDI needs the ten Vernon 1991 sections each as an integer 0-5. Returned before settlement; you are not charged. |
| 400 | invalid_ndi_item |
each NDI section must be an integer from 0 to 5 (Vernon 1991). Returned before settlement; you are not charged. |
| 400 | invalid_items |
POST body must be a JSON object with only an items array Returned before settlement; you are not charged. |
| 400 | invalid_item_count |
items must be an array of 1 to 25 objects Returned before settlement; you are not charged. |
| 400 | invalid_item |
each items entry must be a JSON object Returned before settlement; you are not charged. |
Related tools
- Barthel Index — Sum ten caller-assigned Mahoney 1965 Barthel Index item points and return the published 0-100 total.
- Modified Rankin — Return the van Swieten 1988 modified Rankin handicap grade 0-5 from a caller-assigned integer, with the published grade wording.
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. Unpaid valid requests return HTTP 402 with a base64
PAYMENT-REQUIRED
header. HTTP 503 is not a new quote: retry the same PAYMENT-SIGNATURE. Full handshake
and shared payment errors: Payments.
Stdio MCP: /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.