Conditions / Medications
identified based on
patient chart review
ECG
CBC
(no diff)
BMP CMP Cr PT/INR PTT
ACEIs, ARBs, Diuretics
within 180 d
Planned procedural IV
contrast
results good
for 30 d*
Blood Refusal
within 180 d
Bariatric Surgery
within 1 yr within 180 d within 180 d
Age over 75
within 1 yr within 180 d
Bleeding as Indication for
Surgery
within 30 d*
X
*without clinical change
MEDICATION
OTHER
X
LIP Consult Other Tests / Notes
