Department of Medicine

19 - Chronic Liver Disease / Chronic liver enzyme

GI Diagnostic Code Suggested Waiting Time / Priority Level Referral Information Requirements
  1. Chronic Liver Disease / Chronic Liver Enzyme
  • Medicine History including herbs/remedies/all OTC drug use
  • Symptoms (eg Jaundice, abdominal pain, confusion, pruritus, pedal edema, ascites, GI bleeding)
  • Comorbidities (eg DM, cholesterol, CAD, etc.)
  • Alcohol intake
  • BMI
Essential Investigations Timing of essential investigation 
  • Liver enzymes: ALT, AST, Alk phos, GGT, LDH
  • Liver function: INR, Total/Direct bilirubin, Albumin
  • CBC, electrolytes, creatinine
  • Etiological:  Hep B, C serology, IgG, IgA, IgM, ANA, Anti-smooth muscle antibody, ceruloplasmin, ferritin, transferrin saturation, Alpha 1 antitrypsin level
  • Old liver enzymes (if available)
  • Abdominal Ultrasound (with hepatic / portal vein Doppler where available)
  • All within 3 months

  • 6 months
  • 6 months
Elevated Isolated gamma gt is not a reason for referral.
Elevations below 250 recheck in 1-2 weeks for elevation.

Fill out the Hepatology Referral Form for your patient in its entirety

Fax completed referral package to


Any concerns or questions please call

Central Referrals: 780-248-1935 ​