MAGENT

Medications · LIVE

RhIG vials

Compute ACOG Practice Bulletin 181 RhD immune globulin vial count from caller-assigned fetal-cell percent and maternal blood volume using AABB Technical Manual rounding of FMH/30.

LIVE $0.005 USDC GET /api/calc/rhig

Markdown: /docs/rhig.md · Canonical: https://magentlab.com/docs/rhig

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

What it computes

Compute ACOG Practice Bulletin 181 RhD immune globulin vial count from caller-assigned fetal-cell percent and maternal blood volume using AABB Technical Manual rounding of FMH/30.

When to use

When an agent needs ACOG PB 181 vial arithmetic from a caller-assigned Kleihauer–Betke percent and maternal blood volume and must not invent a brand order, read a slide, or skip the AABB extra vial.

When not to use

  • Not a prescription or brand order. magent does not name a product, route, or timing.
  • magent does not interpret Kleihauer–Betke slides. fetal_cells_percent is the percent assigned by the caller.
  • maternal_blood_volume_ml is caller-assigned. magent does not compute Nadler estimated blood volume.
  • Society-policy AABB rounding of whole-blood FMH / 30 only. magent does not convert a red-cell volume path or a flow-cytometry method.

Formula

fmh_ml = fetal_cells_percent / 100 * maternal_blood_volume_ml; raw = fmh_ml / 30; vials = (frac(raw) >= 0.5 ? ceil(raw) : floor(raw)) + 1

Citation

Title
Prevention of Rh D Alloimmunization
Authors
Committee on Practice Bulletins-Obstetrics
Source
Obstet Gynecol. 2017;130(2):e57-e70
DOI
10.1097/AOG.0000000000002232

Worked example

0.4% cells, 5000 mL maternal volume

Given: fetal_cells_percent=0.4maternal_blood_volume_ml=5000

  1. fmh_ml = 0.4 / 100 * 5000 = 20 mL
  2. raw = 20 / 30 = 0.667
  3. frac 0.667 >= 0.5 → round up to 1, then add one → 2 vials

0% cells, 5000 mL maternal volume (standard dose)

Given: fetal_cells_percent=0maternal_blood_volume_ml=5000

  1. fmh_ml = 0 / 100 * 5000 = 0 mL
  2. raw = 0 / 30 = 0
  3. frac 0 < 0.5 → round down to 0, then add one → 1 vial (standard postpartum dose)

Also searched as

  • RhIG vials
  • RhD immune globulin
  • fetomaternal hemorrhage vials
  • Kleihauer-Betke vial count
  • ACOG RhIG
  • 300 microgram RhIG
  • FMH RhIG dose

Try

Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.

/api/calc/rhig?fetal_cells_percent=0.4&maternal_blood_volume_ml=5000

Full URL: https://api.magentlab.com/api/calc/rhig?fetal_cells_percent=0.4&maternal_blood_volume_ml=5000

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/rhig?fetal_cells_percent=0.4&maternal_blood_volume_ml=5000"

Parameters

Name Type Required Description
fetal_cells_percent number required Caller-assigned Kleihauer–Betke fetal-cell percent (0-5). magent does not interpret slides.
maternal_blood_volume_ml number required Caller-assigned maternal blood volume in mL (3000-10000). magent does not compute Nadler EBV.

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.

POST /api/calc/rhig Max 25 unit_amount + extra_item_amount * (n - 1) extra $0.002 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 (fixture)

{
  "items": [
    {
      "fetal_cells_percent": "0.4",
      "maternal_blood_volume_ml": "5000"
    },
    {
      "fetal_cells_percent": "0.4",
      "maternal_blood_volume_ml": "5000"
    }
  ]
}

Open bulk paywall →

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/rhig",
  "items": [
    {
      "raw": 0.667,
      "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": "Committee on Practice Bulletins-Obstetrics",
        "doi": "10.1097/AOG.0000000000002232",
        "id": "acog-2017-181",
        "pmid": "28742673",
        "source": "Obstet Gynecol. 2017;130(2):e57-e70",
        "title": "Prevention of Rh D Alloimmunization"
      },
      "formula": "acog_pb_181",
      "formula_expression": "fmh_ml = fetal_cells_percent / 100 * maternal_blood_volume_ml; raw = fmh_ml / 30; vials = (frac(raw) >= 0.5 ? ceil(raw) : floor(raw)) + 1",
      "fetal_cells_percent": 0.4,
      "fmh_ml": 20.0,
      "maternal_blood_volume_ml": 5.0e3,
      "vial_micrograms": 300,
      "vials": 2
    },
    {
      "raw": 0.667,
      "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": "Committee on Practice Bulletins-Obstetrics",
        "doi": "10.1097/AOG.0000000000002232",
        "id": "acog-2017-181",
        "pmid": "28742673",
        "source": "Obstet Gynecol. 2017;130(2):e57-e70",
        "title": "Prevention of Rh D Alloimmunization"
      },
      "formula": "acog_pb_181",
      "formula_expression": "fmh_ml = fetal_cells_percent / 100 * maternal_blood_volume_ml; raw = fmh_ml / 30; vials = (frac(raw) >= 0.5 ? ceil(raw) : floor(raw)) + 1",
      "fetal_cells_percent": 0.4,
      "fmh_ml": 20.0,
      "maternal_blood_volume_ml": 5.0e3,
      "vial_micrograms": 300,
      "vials": 2
    }
  ]
}

Response

Field Type Description
formula string acog_pb_181
formula_expression string FMH whole-blood formula and AABB vial rounding
fetal_cells_percent number Caller-assigned Kleihauer–Betke percent used
maternal_blood_volume_ml number Caller-assigned maternal blood volume in mL
fmh_ml number Fetomaternal hemorrhage in mL of whole blood, 1 decimal
raw number fmh_ml / 30 before AABB rounding, 3 decimals
vials integer 300 microgram RhD immune globulin vials after AABB rounding
vial_micrograms integer ACOG PB 181 standard vial size (300 micrograms)
citation object ACOG Practice Bulletin 181 citation
disclaimer string Not-a-device notice

Example JSON

Machine form of the same example. Frozen fixture. Not a live lookup.

{
  "raw": 0.667,
  "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": "Committee on Practice Bulletins-Obstetrics",
    "doi": "10.1097/AOG.0000000000002232",
    "id": "acog-2017-181",
    "pmid": "28742673",
    "source": "Obstet Gynecol. 2017;130(2):e57-e70",
    "title": "Prevention of Rh D Alloimmunization"
  },
  "formula": "acog_pb_181",
  "formula_expression": "fmh_ml = fetal_cells_percent / 100 * maternal_blood_volume_ml; raw = fmh_ml / 30; vials = (frac(raw) >= 0.5 ? ceil(raw) : floor(raw)) + 1",
  "fetal_cells_percent": 0.4,
  "fmh_ml": 20.0,
  "maternal_blood_volume_ml": 5.0e3,
  "vial_micrograms": 300,
  "vials": 2
}

Client errors (HTTP 400)

Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.

HTTP Code When
400 invalid_rhig RhIG vial arithmetic must match ACOG Practice Bulletin 181 fetal-cell percent and maternal blood volume from that bulletin. 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.

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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.