Mahler 2015 HEART Pathway for emergency chest pain. early_discharge_candidate is true only when the caller-assigned HEART score is 0-3 and both 0-hour and 3-hour troponin flags are not elevated (above the 99th percentile). HEART items are not assigned here. magent does not read an ECG or assay a troponin. Does not order a stress test or angiogram. High-risk features do not mandate a test. Not a medical device and not a diagnosis.

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