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Rome III IBS criteria

Rome III IBS

Apply the Longstreth 2006 Rome III IBS diagnostic criteria and return supporting_features_met (0-3) and whether the published IBS box holds (rome_iii_ibs).

LIVE $0.005 USDC GET /api/calc/rome_iii_ibs

Markdown: /docs/rome-iii-ibs.md · Canonical: https://magentlab.com/docs/rome-iii-ibs

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

What it computes

Apply the Longstreth 2006 Rome III IBS diagnostic criteria and return supporting_features_met (0-3) and whether the published IBS box holds (rome_iii_ibs).

When to use

When an agent already has the five caller-assigned Rome III IBS flags as in Longstreth 2006 and needs whether the published IBS box holds. magent does not examine the patient.

When not to use

  • Not a medical device.
  • Not a diagnosis. magent does not diagnose irritable bowel syndrome.
  • The caller assigns the five flags. magent does not examine the patient.
  • This tool is the Longstreth 2006 Rome III IBS diagnostic box only. Not Rome IV (pain at least 1 day per week), not Manning criteria, and not IBS-C/D/M subtype.

Formula

rome_iii_ibs iff pain_or_discomfort_3_days_per_month_last_3_months and symptom_onset_at_least_6_months_prior and supporting_features_met >= 2; supporting_features_met counts improvement_with_defecation, onset_change_stool_frequency, and onset_change_stool_form (Longstreth 2006 Rome III IBS diagnostic criteria)

Citation

Title
Functional bowel disorders
Authors
Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC
Source
Gastroenterology. 2006;130(5):1480-1491
DOI
10.1053/j.gastro.2005.11.061

Worked example

Pain, 6-month onset, and two supporting features

Given: improvement_with_defecation=trueonset_change_stool_form=falseonset_change_stool_frequency=truepain_or_discomfort_3_days_per_month_last_3_months=truesymptom_onset_at_least_6_months_prior=true

  1. Pain or discomfort at least 3 days per month in the last 3 months is true
  2. Symptom onset at least 6 months prior is true
  3. Improvement with defecation and change in stool frequency are true; change in stool form is false (2 of 3)
  4. rome_iii_ibs is true

Pain and 6-month onset with only one supporting feature

Given: improvement_with_defecation=trueonset_change_stool_form=falseonset_change_stool_frequency=falsepain_or_discomfort_3_days_per_month_last_3_months=truesymptom_onset_at_least_6_months_prior=true

  1. Pain and 6-month onset hold
  2. Only improvement with defecation is true (1 of 3)
  3. rome_iii_ibs is false

Also searched as

  • Rome III IBS
  • Rome III irritable bowel
  • Longstreth IBS criteria
  • functional bowel IBS 2006
  • IBS diagnostic criteria Rome III
  • Longstreth 2006 IBS
  • irritable bowel syndrome Rome III
  • Rome III IBS box

Try

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

/api/calc/rome_iii_ibs?pain_or_discomfort_3_days_per_month_last_3_months=true&symptom_onset_at_least_6_months_prior=true&improvement_with_defecation=true&onset_change_stool_frequency=true&onset_change_stool_form=false

Full URL: https://api.magentlab.com/api/calc/rome_iii_ibs?pain_or_discomfort_3_days_per_month_last_3_months=true&symptom_onset_at_least_6_months_prior=true&improvement_with_defecation=true&onset_change_stool_frequency=true&onset_change_stool_form=false

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/rome_iii_ibs?pain_or_discomfort_3_days_per_month_last_3_months=true&symptom_onset_at_least_6_months_prior=true&improvement_with_defecation=true&onset_change_stool_frequency=true&onset_change_stool_form=false"

Parameters

Name Type Required Description
pain_or_discomfort_3_days_per_month_last_3_months boolean required Recurrent abdominal pain or discomfort at least 3 days per month in the last 3 months (Longstreth 2006). true or false as assigned by the caller. magent does not examine the patient.
symptom_onset_at_least_6_months_prior boolean required Symptom onset at least 6 months prior to diagnosis, as assigned (Longstreth 2006). true or false as assigned by the caller. magent does not take a history.
improvement_with_defecation boolean required Improvement with defecation (one of three supporting features; at least two required). true or false as assigned by the caller.
onset_change_stool_frequency boolean required Onset associated with a change in frequency of stool (one of three supporting features; at least two required). true or false as assigned by the caller.
onset_change_stool_form boolean required Onset associated with a change in form (appearance) of stool (one of three supporting features; at least two required). true or false as assigned by the caller.

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/rome_iii_ibs 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": [
    {
      "improvement_with_defecation": "true",
      "onset_change_stool_form": "false",
      "onset_change_stool_frequency": "true",
      "pain_or_discomfort_3_days_per_month_last_3_months": "true",
      "symptom_onset_at_least_6_months_prior": "true"
    },
    {
      "improvement_with_defecation": "true",
      "onset_change_stool_form": "false",
      "onset_change_stool_frequency": "true",
      "pain_or_discomfort_3_days_per_month_last_3_months": "true",
      "symptom_onset_at_least_6_months_prior": "true"
    }
  ]
}

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/rome_iii_ibs",
  "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": "Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC",
        "doi": "10.1053/j.gastro.2005.11.061",
        "id": "longstreth-2006",
        "pmid": "16678561",
        "source": "Gastroenterology. 2006;130(5):1480-1491",
        "title": "Functional bowel disorders"
      },
      "formula": "rome_iii_ibs",
      "formula_expression": "rome_iii_ibs iff pain_or_discomfort_3_days_per_month_last_3_months and symptom_onset_at_least_6_months_prior and supporting_features_met >= 2; supporting_features_met counts improvement_with_defecation, onset_change_stool_frequency, and onset_change_stool_form (Longstreth 2006 Rome III IBS diagnostic criteria)",
      "criteria": [
        {
          "factor": "pain_or_discomfort_3_days_per_month_last_3_months",
          "met": true
        },
        {
          "factor": "symptom_onset_at_least_6_months_prior",
          "met": true
        },
        {
          "factor": "improvement_with_defecation",
          "met": true
        },
        {
          "factor": "onset_change_stool_frequency",
          "met": true
        },
        {
          "factor": "onset_change_stool_form",
          "met": false
        },
        {
          "value": 2,
          "factor": "supporting_features_ge_2",
          "met": true
        }
      ],
      "rome_iii_ibs": true,
      "supporting_features_met": 2
    },
    {
      "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": "Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC",
        "doi": "10.1053/j.gastro.2005.11.061",
        "id": "longstreth-2006",
        "pmid": "16678561",
        "source": "Gastroenterology. 2006;130(5):1480-1491",
        "title": "Functional bowel disorders"
      },
      "formula": "rome_iii_ibs",
      "formula_expression": "rome_iii_ibs iff pain_or_discomfort_3_days_per_month_last_3_months and symptom_onset_at_least_6_months_prior and supporting_features_met >= 2; supporting_features_met counts improvement_with_defecation, onset_change_stool_frequency, and onset_change_stool_form (Longstreth 2006 Rome III IBS diagnostic criteria)",
      "criteria": [
        {
          "factor": "pain_or_discomfort_3_days_per_month_last_3_months",
          "met": true
        },
        {
          "factor": "symptom_onset_at_least_6_months_prior",
          "met": true
        },
        {
          "factor": "improvement_with_defecation",
          "met": true
        },
        {
          "factor": "onset_change_stool_frequency",
          "met": true
        },
        {
          "factor": "onset_change_stool_form",
          "met": false
        },
        {
          "value": 2,
          "factor": "supporting_features_ge_2",
          "met": true
        }
      ],
      "rome_iii_ibs": true,
      "supporting_features_met": 2
    }
  ]
}

Response

Field Type Description
formula string rome_iii_ibs
formula_expression string Longstreth 2006 Rome III IBS box: pain/discomfort 3 days/month for 3 months, onset 6 months, and at least 2 of 3 supporting features
supporting_features_met integer Count of true supporting features among improvement with defecation, change in stool frequency, and change in stool form (0-3)
rome_iii_ibs boolean true only when pain/discomfort, 6-month onset, and at least two supporting features all hold. Not a diagnosis.
criteria array Per-factor rows with factor and met; supporting_features_ge_2 includes value 0-3
citation object Longstreth 2006 Gastroenterology citation
disclaimer string Not-a-device notice

Example JSON

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

{
  "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": "Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC",
    "doi": "10.1053/j.gastro.2005.11.061",
    "id": "longstreth-2006",
    "pmid": "16678561",
    "source": "Gastroenterology. 2006;130(5):1480-1491",
    "title": "Functional bowel disorders"
  },
  "formula": "rome_iii_ibs",
  "formula_expression": "rome_iii_ibs iff pain_or_discomfort_3_days_per_month_last_3_months and symptom_onset_at_least_6_months_prior and supporting_features_met >= 2; supporting_features_met counts improvement_with_defecation, onset_change_stool_frequency, and onset_change_stool_form (Longstreth 2006 Rome III IBS diagnostic criteria)",
  "criteria": [
    {
      "factor": "pain_or_discomfort_3_days_per_month_last_3_months",
      "met": true
    },
    {
      "factor": "symptom_onset_at_least_6_months_prior",
      "met": true
    },
    {
      "factor": "improvement_with_defecation",
      "met": true
    },
    {
      "factor": "onset_change_stool_frequency",
      "met": true
    },
    {
      "factor": "onset_change_stool_form",
      "met": false
    },
    {
      "value": 2,
      "factor": "supporting_features_ge_2",
      "met": true
    }
  ],
  "rome_iii_ibs": true,
  "supporting_features_met": 2
}

Client errors (HTTP 400)

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

HTTP Code When
400 invalid_flag boolean clinical flags must be true or false 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

  • HBI — Sum Harvey 1980 simple-index items (previous-day well-being, abdominal pain, liquid stools, abdominal mass, and one point per listed complication) and return the total. Does not return later remission or activity bands.
  • Mayo DAI — Sum four caller-assigned Schroeder 1987 ulcerative colitis disease-activity index items (each integer 0-3) and return the total (max 12). Does not return later remission or activity bands.

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.