Belgrade 2006 DIRE score

Belgrade 2006 DIRE score: Diagnosis, Intractability, and Efficacy each caller-assigned 1-3; Risk is the sum of Psychological, Chemical, Reliability, and Social support (each 1-3, so Risk 4-12). Total 7-21. Scores 14-21 are more suitable for long-term opioid maintenance; 7-13 less suitable. Caller assigns the integers. magent does not take a pain history or write an opioid prescription or taper. Not a medical device.

Paid test badge: not yet. The checks above are free: we call the tool without paying and read the payment request it sends back. The Verified badge needs paid calls whose answers match the promised output, and nobody can buy a badge.

Endpoint

POST https://api.magentlab.com/api/calc/dire

Our checks, last 30 days

Example input (from the provider)

{
  "body": {
    "items": [
      {
        "chemical": 1,
        "diagnosis": 1,
        "efficacy": 1,
        "intractability": 1,
        "psychological": 1,
        "reliability": 1,
        "social_support": 1
      },
      {
        "chemical": 1,
        "diagnosis": 1,
        "efficacy": 1,
        "intractability": 1,
        "psychological": 1,
        "reliability": 1,
        "social_support": 1
      }
    ]
  },
  "method": "POST",
  "type": "http"
}

Promised output schema (from the provider)

{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "properties": {
    "input": {
      "additionalProperties": false,
      "properties": {
        "body": {
          "additionalProperties": false,
          "properties": {
            "items": {
              "items": {
                "properties": {
                  "chemical": {
                    "description": "Caller-assigned Belgrade 2006 Risk subcategory Chemical (integer 1-3): 1 active or recent substance abuse; 2 chemical coper or history of chemical dependence in remission; 3 no chemical-dependence history. One of four Risk items (Risk 4-12). magent does not interview the patient.",
                    "type": "integer"
                  },
                  "diagnosis": {
                    "description": "Caller-assigned Belgrade 2006 Diagnosis (integer 1-3): 1 benign chronic condition with minimal objective findings or no definite diagnosis; 2 slowly progressive condition concordant with moderate pain, or fixed deficit; 3 advanced condition concordant with severe pain with objective findings. magent does not take a pain history.",
                    "type": "integer"
                  },
                  "efficacy": {
                    "description": "Caller-assigned Belgrade 2006 Efficacy (integer 1-3): 1 poor function or minimal pain relief despite moderate-to-high doses; 2 moderate benefit with moderate function on moderate doses; 3 good function and pain relief on stable low-to-moderate doses. magent does not take a pain history or write an opioid prescription.",
                    "type": "integer"
                  },
                  "intractability": {
                    "description": "Caller-assigned Belgrade 2006 Intractability (integer 1-3): 1 few therapies tried and the patient is passively involved; 2 most appropriate treatments tried with inadequate response and the patient is reasonably involved; 3 patient fully engaged in appropriate treatments with inadequate response. magent does not take a pain history.",
                    "type": "integer"
                  },
                  "psychological": {
                    "description": "Caller-assigned Belgrade 2006 Risk subcategory Psychological (integer 1-3): 1 serious personality dysfunction or mental illness interfering with care; 2 personality or mental health interferes moderately; 3 good psychological functioning. One of four Risk items (Risk 4-12). magent does not interview the patient.",
                    "type": "integer"
                  },
                  "reliability": {
                    "description": "Caller-assigned Belgrade 2006 Risk subcategory Reliability (integer 1-3): 1 many missed appointments, lacks insight, or poor observer of laws and rules; 2 generally reliable; 3 highly reliable. One of four Risk items (Risk 4-12). magent does not interview the patient.",
                    "type": "integer"
                  },
                  "social_support": {
                    "description": "Caller-assigned Belgrade 2006 Risk subcategory Social support (integer 1-3): 1 life in chaos, few resources, close relationships dysfunctional; 2 relationships exist but are strained; 3 stable supportive relationships and sufficient resources. One of four Risk items (Risk 4-12). magent does not interview the patient.",
                    "type": "integer"
                  }
                },
                "required": [
                  "diagnosis",
                  "intractability",
                  "psychological",
                  "chemical",
                  "reliability",
                  "social_support",
                  "efficacy"
                ],
                "type": "object"
              },
              "maxItems": 25,
              "minItems": 1,
              "type": "array"
            }
          },
          "required": [
            "items"
          ],
          "type": "object"
        },
        "headers": {
          "additionalProperties": {
            "type": "string"
          },
          "type": "object"
        },
        "method": {
          "const": "POST",
          "type": "string"
        },
        "type": {
          "const": "http",
          "type": "string"
        }
      },
      "required": [
        "type",
        "method"
      ],
      "type": "object"
    },
    "output": {
      "properties": {
        "example": {
          "type": "object"
        },
        "type": {
          "type": "string"
        }
      },
      "required": [
        "type"
      ],
      "type": "object"
    }
  },
  "required": [
    "input"
  ],
  "type": "object"
}

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