Rome_IV_Diagnostic_Criteria_for_Functional_Heartburn v.0.1.0
Clinical guideline to assist in recording and evaluating the Rome IV criteria for Functional Heartburn by documenting relevant symptoms, diagnostic exclusions, and responses to therapy.
To provide decision support for diagnosing Functional Heartburn by applying the Rome IV diagnostic criteria in clinical practice.
Use to record the structured evaluation of patients suspected of having Functional Heartburn, including: Symptom presence for ≥3 months, onset ≥6 months before diagnosis. Absence of GERD on endoscopy or reflux monitoring. Normal findings on esophageal manometry. Lack of response to acid suppression therapy.
Not to be used for GERD, non-cardiac chest pain, or other esophageal disorders. Use instead the appropriate guideline for those conditions.
Aziz Q, Fass R, Gyawali CP, Miwa H, Pandolfino JE, Zerbib F. Functional Esophageal Disorders. Gastroenterology. 2016 Feb 15:S0016-5085(16)00178-5. doi: 10.1053/j.gastro.2016.02.012. Epub ahead of print. PMID: 27144625. Mahoney LB, Nurko S, Rosen R. The Prevalence of Rome IV Nonerosive Esophageal Phenotypes in Children. J Pediatr. 2017 Oct;189:86-91. doi: 10.1016/j.jpeds.2017.06.019. Epub 2017 Jul 12. PMID: 28711175; PMCID: PMC6158020. Josefsson A, Palsson O, Simrén M, Sperber AD, Törnblom H, Whitehead W. Oesophageal symptoms are common and associated with other functional gastrointestinal disorders (FGIDs) in an English-speaking Western population. United European Gastroenterol J. 2018 Dec;6(10):1461-1469. doi: 10.1177/2050640618798894. Epub 2018 Sep 6. PMID: 30574316; PMCID: PMC6297932.
openEHR-EHR-EVALUATION.rome_iv_diagnostic_criteria_assessment, openEHR-EHR-OBSERVATION.rome_iv_esophageal_disorders
