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Aziz 2016 Rome IV functional chest pain. rome_iv_chest_pain is true iff retrosternal chest pain or discomfort, no associated heartburn or dysphagia, not explained by GERD or eosinophilic esophagitis, no major esophageal motor disorder, last-3-months criteria, and 6-month onset. Caller assigns six flags, including cardiac rule-out. magent does not examine the patient, rule out ACS, or read manometry. Not a diagnosis, not functional heartburn, not reflux hypersensitivity, not globus.