{"id":"elf-score","name":"Enhanced Liver Fibrosis (ELF) Score","shortName":"ELF Score","aliases":["ELF","ELF Score","Enhanced Liver Fibrosis","Enhanced Liver Fibrosis Test","ELF Test","ELF Fibrosis Score","ELF (Enhanced Liver Fibrosis), S","Enhanced Liver Fibrosis (ELF) Score","Enhanced Liver Fibrosis (ELF), Serum","ELF Index"],"abbreviations":["ELF"],"loinc":[{"code":"88055-9","primary":true}],"specimen":"serum","units":[{"ucum":"{score}","display":"score"}],"referenceRanges":[{"population":"Men","low":7,"high":9.9,"unit":"{score}","unitDisplay":"score","note":"Reference values measured in healthy men on the Siemens ADVIA Centaur (about 400 healthy adults in total). They are higher than in women, and age also affects the score. These are not the decision cut-offs; see the risk categories.","sources":[{"title":"The Enhanced Liver Fibrosis (ELF) score: normal values, influence factors and proposed cut-off values","url":"https://pubmed.ncbi.nlm.nih.gov/23523583/","publisher":"Journal of Hepatology","year":2013}]},{"population":"Women","low":6.6,"high":9.3,"unit":"{score}","unitDisplay":"score","note":"Reference values measured in healthy women on the Siemens ADVIA Centaur (about 400 healthy adults in total). They are lower than in men, and age also affects the score. These are not the decision cut-offs; see the risk categories.","sources":[{"title":"The Enhanced Liver Fibrosis (ELF) score: normal values, influence factors and proposed cut-off values","url":"https://pubmed.ncbi.nlm.nih.gov/23523583/","publisher":"Journal of Hepatology","year":2013}]},{"population":"Adults","low":6.7,"high":9.8,"unit":"{score}","unitDisplay":"score","note":"Reference values for all healthy adults combined (400 healthy controls, ADVIA Centaur). The study summary does not say whether these are percentile limits or the full observed range. Mayo Clinic Laboratories prints no healthy interval and uses different decision points: 9.20 or higher for clinically significant fibrosis (stage 2 or greater) and 11.30 or higher for higher risk of progression.","sources":[{"title":"The Enhanced Liver Fibrosis (ELF) score: normal values, influence factors and proposed cut-off values","url":"https://pubmed.ncbi.nlm.nih.gov/23523583/","publisher":"Journal of Hepatology","year":2013}]}],"review":{"status":"ai-verified","label":"AI-verified against cited sources. Awaiting expert review","lastReviewed":"2026-10-03"},"summary":"A blood score made from three proteins linked to liver scarring. It helps estimate the risk of advanced scarring and of liver problems getting worse.","url":"https://bloodtesttracker.com/markers/elf-score","notice":"Information, not medical advice. Ranges differ between labs, so the range on your own report is the one your result is judged against."}