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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).
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
- Authors
- Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC
- Source
- Gastroenterology. 2006;130(5):1480-1491
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
- Pain or discomfort at least 3 days per month in the last 3 months is true
- Symptom onset at least 6 months prior is true
- Improvement with defecation and change in stool frequency are true; change in stool form is false (2 of 3)
- 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
- Pain and 6-month onset hold
- Only improvement with defecation is true (1 of 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.
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.
- 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"
}
]
}
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.