Clinical review & assessment

Keep values, units, and sampling dates or relative hospital days whenever possible. Common units are normalized while original values remain visible for review.

• Total bilirubin (TBIL)

  Common unit: μmol/L

• Creatinine (Cr)

  Common unit: μmol/L

• International normalized ratio (INR)

  Dimensionless

• Sodium (Na)

  Common unit: mmol/L

• White blood cell count (WBC)

  Common unit: ×10⁹/L

• Albumin (ALB)

  Common unit: g/L

• Platelet count (PLT)

  Common unit: ×10⁹/L

Record yes, no, or unknown at each time point. If the source does not specify a state, keep it unknown and review it later.

• Liver failure

  Present or absent

• Kidney failure

  Present or absent

• Coagulation failure

  Present or absent

• Cerebral failure

  Includes hepatic-encephalopathy-related status

• Circulatory failure

  Includes circulatory-support status

• Respiratory failure

  Includes oxygenation or ventilatory-support status

If an ACLF grade is documented, provide it with the laboratory and organ-state data from the same time point. Leave it blank when undocumented.

• Known grade

  Enter 0, 1, 2, or 3

• Grade not documented

  Mark as unknown during review

• Cerebral status uncertain

  The workspace calculates lower- and higher-severity scenarios

One time point is sufficient. With two or more, prior changes are incorporated. Link each laboratory panel to a clear date or relative clinical day.

• Relative time

  For example D1, D3, D7, or hospital day

• Sampling time

  Retain the exact date and time when available

• Multiple cases

  Label each case separately to generate a group review order