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. 2011 Sep 8;3(1):16–20. doi: 10.1136/flgastro-2011-100008

Figure 3.

Figure 3

A customised version of the proforma used by the surveillance nurse practitioner. ASA, American Society of Anesthesiologists; CCF, congestive cardiac failure; CJD, Creutzfeldt-Jakob disease; CKD, chronic kidney disease; CLD, clopidogrel; eGFR, estimated glomerular filtration rate; ICD, implantable defibrillator ; PMH, pervious medical history; PPM, permanent pacemaker.