{"uid":"cap_tI-Hc-ucXBtaFcw1BahGo","slug":"adapt-2-hour-accelerated-chest-pain-diagnostic-protocol-calculator-f8e3bee0","name":"ADAPT 2-Hour Accelerated Chest Pain Diagnostic Protocol Calculator","description":"Than 2012 ADAPT 2-hour accelerated diagnostic protocol for emergency chest pain. low_risk is true only when the caller-assigned TIMI UA/NSTEMI score is 0, new ischemic ECG changes are absent, and both 0-hour and 2-hour (not 3-hour) troponin flags are not elevated. magent does not assign TIMI items, read an ECG, or assay troponin. Not HEART Pathway. Not a discharge order, ACS diagnosis, or stress-test order. Not a medical device.","url":"https://api.magentlab.com/api/calc/adapt","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["timi_score","new_ischemic_ecg","troponin_0_elevated","troponin_2h_elevated"],"properties":{"timi_score":{"type":"integer","description":"Caller-assigned TIMI UA/NSTEMI score integer 0-7 (Antman 2000 components already summed by the caller). magent does not assign TIMI items. Low-risk (ADP-negative) requires 0 when the ECG and both 2-hour serial troponin flags are false."},"new_ischemic_ecg":{"type":"boolean","description":"New ischemic changes on the initial ECG (not known to be pre-existing), as assigned by the caller. true or false. true blocks low-risk. magent does not read an ECG."},"troponin_0_elevated":{"type":"boolean","description":"0-hour cTnI at or above the institutional cutoff as assigned by the caller. true or false. true blocks low-risk. magent does not assay troponin."},"troponin_2h_elevated":{"type":"boolean","description":"2-hour (not 3-hour) troponin at or above the institutional cutoff as assigned by the caller. true or false. true blocks low-risk. magent does not assay troponin."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_OliousWm8bEaiyAZ3e3M3","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Applies the 2012 ADAPT accelerated diagnostic protocol to determine low-risk status for emergency chest pain patients using caller-supplied TIMI score, ECG finding, and two serial troponin flags.","exampleAgentPrompt":"This patient has a TIMI score of 0, no new ischemic ECG changes, a negative 0-hour troponin, and a negative 2-hour troponin — run the ADAPT protocol and tell me if they qualify as low risk.","exampleUseCases":[{"title":"ADAPT low-risk clearance in the ED","prompt":"My patient came in with chest pain: TIMI score is 0, the ECG shows no new ischemic changes, 0-hour troponin is negative, and the 2-hour troponin just came back negative too. Run the ADAPT protocol — are they low risk?"},{"title":"ADAPT screen for borderline TIMI patient","prompt":"I have a chest pain patient with a TIMI score of 2, no new ischemic ECG changes, and both the 0-hour and 2-hour troponins are negative. Apply the ADAPT accelerated diagnostic protocol and tell me the result."},{"title":"Elevated troponin blocking ADAPT clearance","prompt":"Patient has a TIMI score of 0 and a clean ECG, but the 2-hour troponin came back elevated. Run the ADAPT protocol so I can document why they don't meet low-risk criteria."}],"resultDescription":"Returns a structured object indicating whether the patient meets ADAPT low-risk (ADP-negative) criteria. low_risk is true only when TIMI score is 0, new_ischemic_ecg is false, troponin_0_elevated is false, and troponin_2h_elevated is false; any single positive flag yields false. Does not provide a discharge order, ACS diagnosis, or stress-test recommendation.","failureModes":["Missing required query parameters (timi_score, new_ischemic_ecg, troponin_0_elevated, troponin_2h_elevated) results in a validation error","timi_score outside integer range 0-7 may be rejected","Using a 3-hour troponin result instead of the required 2-hour troponin produces a protocol-invalid result","Payment failure or missing x402 header returns a 402 response","Caller incorrectly assigns TIMI items or reads ECG — the API accepts caller inputs as-is and cannot detect upstream clinical errors"],"whenToPreferThis":"Choose this endpoint when you need to programmatically apply the validated Than 2012 ADAPT 2-hour accelerated diagnostic protocol in an emergency department workflow and you have already determined the TIMI UA/NSTEMI score, ECG findings, and two timed serial troponin results independently. Prefer this over HEART Pathway calculators when the clinical protocol specifically calls for ADAPT. Not appropriate if you lack a true 2-hour troponin (vs 3-hour), or if you need a different ED chest pain pathway such as HEART or EDACS.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T07:11:58.988Z","isFirstParty":false}