RxTrayClinical toolkit

Atrial fibrillation · Bleeding-risk review

HAS-BLED

Identify bleeding-risk factors and, importantly, the factors that may be modifiable during anticoagulation care.

Evidence recordRestricted clinical scopeVersion 0.1 · Updated July 17, 2026

Patient factors

Select one answer per row

Private by design. Values are calculated on this device and are not saved or sent to analytics.

01Uncontrolled hypertensionSystolic blood pressure greater than 160 mm Hg.
02Abnormal renal function
03Abnormal liver function
04Prior stroke
05Major bleeding history or predisposition
06Labile INRUnstable/high INRs or poor time in therapeutic range.
07Age over 65
08Drugs that increase bleeding riskFor example, antiplatelet agents or NSAIDs.
09Alcohol useEight or more drinks per week in the original definition.

Result

Complete all factors

9 remaining
points

The score and its interpretation band will appear here.

No automatic diagnosis or treatment recommendation. Do not use HAS-BLED by itself to deny anticoagulation. Contemporary AF guidance recommends using bleeding scores to identify and modify risk factors, not as an isolated eligibility rule.

Evidence packet

What this tool is based on

This versioned record keeps the citations, equation or decision rule, units, test coverage, intended population, and exclusions attached to the tool.

How evidence review works →
Intended population

Adults with atrial fibrillation undergoing bleeding-risk assessment in an anticoagulation care pathway.

Equation record

Additive 0–9 point bleeding-risk factor score with renal and liver dysfunction, drug exposure, and alcohol counted separately.

Unit handling

Categorical point score only; thresholds are stated in the question text.

Test coverage

All nine separately counted factors, incomplete state, maximum score, and ≥3 boundary.

Do not skip

Limitations and exclusions

  • Do not use the score alone to withhold anticoagulation.
  • Definitions of renal/liver dysfunction, labile INR, drugs, and alcohol must match the original score or current validated implementation.
  • Actively identify and modify reversible bleeding risks.
  • A score is not a substitute for medication reconciliation or ongoing clinical surveillance.

About this tool

HAS-BLED Score Calculator

Use this HAS-BLED calculator to total the published bleeding-risk factors and keep potentially modifiable factors visible during review.

The score should flag review needs rather than serve as an automatic reason to withhold anticoagulation. Use current guidance and the complete patient context.

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