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Emergency Information 
Gastroenterology (GI) Central Access and Triage   at
Calgary Zone and Area
Central Access Healthcare Service
Specialty: Gastroenterology
Connect Care Department: CALGARY ZONE GI CAT
Estimated time to routine appointment: Not Available
Alberta Health Services - Calgary Zone
CENTRAL ACCESS SERVICES
Offers a referral service for people who need to see gastroenterologists. Provides a referral service for doctors, emergency departments, and urgent care centres that need to refer people to see a gastroenterologist in the Calgary Zone.
Offers a referral service for people who need to see gastroenterologists. Provides a referral service for doctors, emergency departments, and urgent care centres that need to refer people to see a gastroenterologist in the Calgary Zone.
ELIGIBILITY REQUIREMENTS
Accepting patients 18 years and above except transfer of care of patient 17 years and up.
Accepting patients 18 years and above except transfer of care of patient 17 years and up.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Complete the referral form and fax it to the service using the contact information in this profile.

For urgent referrals please contact the Gastroenterologist on call through the appropriate hospital switchboard:
  • FMC 403-944-1110
  • PLC 403-943-4555
  • SHC 403-956-1111
  • RGH 403-943-3000
Complete the referral form and fax it to the service using the contact information in this profile.

For urgent referrals please contact the Gastroenterologist on call through the appropriate hospital switchboard:
  • FMC 403-944-1110
  • PLC 403-943-4555
  • SHC 403-956-1111
  • RGH 403-943-3000
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type CALGARY ZONE GI CAT in the “To Department” section and complete order.

For urgent referrals please contact the Gastroenterologist on call through the appropriate hospital switchboard:
  • FMC 403-944-1110
  • PLC 403-943-4555
  • SHC 403-956-1111
  • RGH 403-943-3000
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type CALGARY ZONE GI CAT in the “To Department” section and complete order.

For urgent referrals please contact the Gastroenterologist on call through the appropriate hospital switchboard:
  • FMC 403-944-1110
  • PLC 403-943-4555
  • SHC 403-956-1111
  • RGH 403-943-3000
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 21 days.
  • Wait list status update every 90 days.
  • Appointment outcome to referral source within 30 days.
 
CENTRAL ACCESS REFERRAL PHONE
CENTRAL ACCESS REFERRAL FAX
403-944-6540
REFERRAL FORMS
PATHWAYS
CENTRAL ACCESS LINKED SERVICES
LINKED SPECIALISTS
CLICK + TO VIEW REFERRAL GUIDELINES
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Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
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Abdominal pain
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 1 month
Electrolytes
 
Within 1 month
BUN, Creatinine
 
Within 1 month
Ferritin
 
Within 1 month
Lipase
 
Within 1 month
Liver enzymes (AST, ALT, ALP, GGT) and bilirubin
 
Within 1 month
Celiac screen
 
Within 6 months
H.pylori Stool Antigen (Hp-SAT)
 
Within 6 months
Describe; *frequency *severity *duration
 
Within 1 month
CRP and Albumin
 
Within 1 month
  • Acute abdominal pain
  • Chronic abdominal pain
Refer to the CLINICAL PATHWAY: CHRONIC ABDOMINAL PAIN to
help guide the care of your patient prior to referral.

Please consider the following additional lab work:
• TSH (for change in bowel habits, weight gain or loss, fatigue) (within 1 month)
• Hp-SAT (for dyspepsia, lower SES, elderly, immigrant populations) (within 1 month)
• Urinalysis (for dysuria, urinary frequency)
• Pregnancy (β-hCG) (within 1 month)
• Abdominopelvic ultrasound (if no CT imaging and no other cause identified
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Barrett's esophagus
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 6 months
Describe; *duration and diagnosis if present *duration of symptoms *use of PPI
 
Within 1 month
If available please provide:
  • Previous gastroscopy report 
  • Previous pathology report 
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Capsule endoscopy
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 8 weeks
Creatinine
 
Within 8 weeks
BUN (if patient actively bleeding)
 
Within 8 weeks
Ferritin
 
Within 8 weeks
Iron studies
 
Within 8 weeks
Include indication/question to be answered
 
Within 1 month
Describe; *duration and diagnosis if present *duration of symptoms *use of PPI
 
Within 1 month
If available please provide:
  • CT scan or small bowel follow
Not usually a family physician direct referral (either direct referral or recommended by a gastroenterologist/internal medicine or a surgeon that has seen and scoped the patient).
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Celiac disease
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 6 months
Ferritin
 
Within 6 months
TSH
 
Within 6 months
Celiac serology/screen, IgA
 
Within 6 months
Albumin
 
Within 6 months
Copy of small bowel biopsy imaging and report
 
Within 12 months
Describe; *is patient following a gluten-free diet?
 
Within 1 month
If available please provide:
  • Folate, INR, Ca/albumin, B12
  • Previous gastroscopy & pathology reports
Celiac disease, non celiac gluten sensitivity
In general it is preferred that small bowel biopsies are done to prove that the patient has celiac disease before a gluten-free diet is started.
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Change in bowel habit
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 12 months
Describe; *what the problem is including duration of symptoms
 
Within 1 month
If change in stool shape or caliber, please conduct and report findings of a digital rectal exam
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Constipation
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 6 months
Creatinine
 
Within 6 months
HbA1c
 
Within 6 months
Calcium/Albumin
 
Within 6 months
Ferritin
 
Within 6 months
TSH
 
Within 6 months
Celiac Screen
 
Within 6 months
Describe: *the problem including the frequency of bowel movements and duration of symptoms *attempted interventions and response to therapy
 
Within 1 month
Refer to the CLINICAL PATHWAY: CHRONIC CONSTIPATION
to help guide the care of your patient prior to referral.
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Diarrhea
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 6 months
CRP
 
Within 6 months
TSH
 
Within 6 months
Albumin
 
Within 6 months
Celiac screen
 
Within 6 months
Fecal elastase (if chronic and concern for IBD)
 
Within 6 months
Stool cultures for C&S, O&P and C. Difficile (if relevant acute)
 
Within 6 months
Describe; *frequency, duration *stool form *BMI *attempted investigations and response to therapy
 
Within 1 month
Refer to the CLINICAL PATHWAY: Chronic Diarrhea to help guide the care of your patient prior to referral.
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Dysphagia
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC (only for ages 50+)
 
Within 2 months
Imaging report
 
If available
Describe; *duration, severity *solids or liquids? *progressive or intermittent, unchanged? *weight loss
 
Within 1 month
+-
ERCP - Endoscopic retrograde cholangiopancreatography
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
ALT, ALP, GGT, bilirubin, lipase, creatinine
 
Within 3 months
All relevant imaging (copy of report and findings for all)
 
Within 1 month
CBC
 
Within 1 month
INR, PTT
 
Within 1 month
Surgical history - cystectomy, gall bladder removal
 
Within 1 month
If applicable, please provide:
  • Pregnancy test
+-
Endoscopic ultrasound examination of pancreas
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 3 months
PTT/INR
 
Within 3 months
Liver enzymes (AST, ALT, ALP, GGT) and bilirubin, if investigating biliary pathology
 
Within 3 months
If available, please provide All relevant imaging (copy of report and findings).

Referral for endoscopic ultrasound of bile duct, colon, esophagus, other.
+-
GERD - Gastro-esophageal reflux disease
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 1 year
Describe; *severity of symptoms *whether patient is responding to medication
 
Within 1 month
If available, please provide Imaging report
Gastroesophageal reflux disease / Dyspepsia

Non-cardiac chest pain

Refer to the CLINICAL PATHWAY: GERD to help guide the care of your patient prior to referral.
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Gastrointestinal bleeding
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC/hemoglobin level
 
Within 1 month
Creatinine
 
Within 1 month
Describe; *duration and frequency
 
Within 1 month
Ferritin
 
Within 1 month
Please indicate INR/PTT
  • hematemesis
  • melena (define)
  • low hemoglobin
  • hematochezia
For rectal bleeding referral criteria, please see "Rectal Bleeding" section
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IDA - Iron deficiency anemia
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 8 weeks
Ferritin
 
Within 8 weeks
TTG
 
Within last 5 years or current
Describe; *any GI symptoms *family history of GI malignancy (colorectal cancer, gastric cancer, celiac disease, IBD) *duration and progression *response to iron therapy (if applicable)
 
Within 1 month
Fecal calprotectin (if having any abdominal pain, weight loss, change in bowel habits, and/or family history to suggest IBD)
 
Within 1 month
+-
Imaging of gastrointestinal tract abnormal
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 3 months
Creatinine
 
Within 3 months
Electrolytes
 
Within 3 months
Include indication for imaging and attach complete report of abnormal imaging findings
 
Within 1 month
+-
Inflammatory bowel disease
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
Albumin
 
Within 3 months
B12
 
Within 3 months
CBC
 
Within 3 months
CRP
 
Within 3 months
Creatinine
 
Within 3 months
Describe: *frequency and duration of symptoms *severity of symptoms and impact on daily activities *previous GI consultations, attempted interventions and response to therapy
 
Within 1 month
Electrolytes
 
Within 3 months
Family history of IBD or CRC
 
Current
Fecal Protectin
 
Within 1 month
Iron, Ferritin
 
Within 3 months
Liver enzymes (AST, ALT, ALP, GGT) and bilirubin
 
Within 3 months
Relevant endoscopy, diagnostic imaging, surgical /pathology reports
 
Within 3 months
Stools for C&S, O&P and C. difficile toxin (not required for inactive IBD)
 
Within 3 months
Vitamin D
 
Within 1 month
If previously done, provide Celiac serology.
Inflammatory bowel disease (ulcerative colitis, Crohn's disease)
  • Active or suspected IBD
  • Inactive IBD
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Irritable bowel syndrome
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 6 months
CRP
 
Within 6 months
Celiac serology/screen, IgA
 
Within 6 months
Describe: *frequency and duration of symptoms *severity of symptoms and impact on daily activities *previous GI consultations, attempted interventions and response to therapy
 
Within 1 month
Family history of IBD or CRC
 
Current
If diarrhea; stool for O&P
 
Within 6 months
TSH
 
Within 6 months
Refer to the CLINICAL PATHWAY: Irritable Bowel Syndrome (IBS) to
help guide the care of your patient prior to referral.
+-
Rectal bleeding
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 8 weeks
CRP (optional if ulcerative colitis is suspected)
 
Within 1 month
Describe: *recent change in bowel habit (duration and frequency) *family history
 
Within 1 month
Ferritin
 
Within 8 weeks
Specify antithrombotics (type and reason), antiplatelets and insulin/oral hypoglycemic agents
 
Current
Submit previous colonoscopy/flexibile sigmoidoscopy or imaging reports.
 
If available
High Risk Rectal Bleeding defined as (all must be present):
  • Blood visibly present in/on the stool OR in the toilet AND not just on the tissue paper
  • New onset or worsening AND persistent rectal bleeding (ie. not just a single episode: present most days of the week for > 2 weeks)
  • Unexplained (ie. absence of complete colonoscopy within last 2 years)


*Concerning change in bowel habit (increase or decrease in frequency and/or consistency).

Semi-urgent Referral: Rectal Bleeding as defined under the additional details to the right, AND Associated with at least one of the following:
  • new or worsening anemia (Hb <130g/L in men, Hb <120g/L in women)
  • iron deficiency (serum ferritin below lower limit of normal
  • new onset, persistent or worsening abdominal pain
  • new onset or progressive unintentional weight loss (≥5-10% of body weight over 6 months
  • concerning change in bowel habit
+-
Screening for colon cancer
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
Family history of advanced adenoma or colorectal cancer (relation to patient and age at diagnosis)
 
Current
Personal history of polyps or colorectal cancer (please include endoscopy and pathology reports where available)
 
Current
Colon cancer screening and surveillance is conducted at the Forzani & MacPhail Colon Cancer Screening Centre (CCSC). All  referrals for screening, surveillance, or investigation of positive fecal immunochemical test (FIT) should be sent directly to the CCSC unless the patient does not meet eligibility criteria.
+-
Weight loss
Current medication list (dose, frequency, route) including; *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Past medical history
 
Within 1 month
Indicate within the referral any of the following co-morbidities; *history of stroke *cardiovascular disease (e.g. prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
CBC
 
Within 6 months
Celiac serology/screen, TTG, IgA, albumin
 
Within 6 months
Creatinine
 
Within 6 months
Describe amount (absolute and percentage of total body weight) and duration of weight loss. Include calculated BMI. Note relation to symptoms, relevant comorbidities (e.g., cancer, COPD, etc.), and medications. Please provide all relevant investigations done to date.
 
Within 1 month
Electrolytes
 
Within 6 months
Ferritin
 
Within 6 months
Liver enzymes (AST, ALT, ALP, GGT), bilirubin, lipase
 
Within 6 months
TSH
 
Within 6 months
Unexplained

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Urgent Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
IDA - Iron deficiency anemia
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
CBC
 
Within 8 weeks
Current medication list (dose, frequency, route) including: *antithrombotics (type and reason) *antiplatelets *insulin/oral hypoglycemic agent
 
Within 1 month
Describe: *any GI symptoms *family history of GI malignancy (colorectal cancer, gastric cancer, celiac disease, I
 
Within 1 month
Ferritin
 
Within 8 weeks
Indicate within the referral any of the following co-morbidities: *history of stroke *cardiovascular disease (e.g prior MI) *respiratory disease *peripheral vascular disease *GI disease (e.g. Crohn's) *renal disease *liver disease (hepatitis B or C) *diabetes
 
Within 1 month
Semi Urgent referral consists of IDA with Hgb 110-130g/L men or Hgb 100-120g/L women, resolved IDA or iron deficiency (ferritin < 45) without anemia
 
Current
Specify antithrombotics (type and reason), antiplatelets and insulin/oral hypoglycemic agent
 
Current
Submit previous colonoscopy/flexible sigmoidoscopy or imaging reports
 
if available
TTG
 
Within last 5 years or current
Urgent referral consists of:*IDA with Hgb <110g/L men or Hgb <100 women or requires at least one of the following alarms symptoms: *significant diarrhea as can occur in IBD *Unintentional weight loss (≥ 5-10% of body weight over 6 months) *significant and progressive change in bowel habit *significant abdominal pain *symptomatic (significant fatigue/ dyspnea, syncope, abdominal pain)
 
Current
+-
Rectal bleeding
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
CBC
 
Within 8 weeks
CRP (optional if ulcerative colitis is suspected)
 
Within 1 month
Describe: *recent change in bowel habit (duration and frequency) * family history
 
Within 1 month
Indicate within the referral any of the following co-morbidities: *history of stroke *cardiovascular disease (e.g prior MI)*respiratory disease*peripheral vascular disease*GI disease (e.g. Crohn's)*renal disease*liver disease (hepatitis B or C)*diabetes
 
Within 12 months
Semi-Urgent Referral:Rectal Bleeding as defined under the additional details to theright, AND Associated with at least one of the following;*new or worsening anemia (Hb <130g/L in men, Hb <120g/Lin women)*iron deficiency (serum ferritin belowlower limit of normal)*new onset, persistent or worsening abdominal pain*new onset or progressive unintentional weight loss (≥5-10%of body weight over 6 months)*concerning change in bowel habit
 
Current
Specify antithrombotics (type and reason), antiplatelets andinsulin/oral hypoglycemic agent
 
Current
Submit previous colonoscopy/flexible sigmoidoscopy orimaging reports.
 
If available
Urgent Referral: Rectal Bleeding as defined under the additional details to the right, AND *Palpable abdominal or rectal mass, OR suspected colorectal lesion or evidence of metastases seen on imaging *New or worsening anemia (Hgb <100 g/L men and Hgb <100 g/L women) AND iron deficiency (serum ferritin below lower limit of normal)
 
Current
High Risk Rectal Bleeding defined as (all must be present):
  • Blood visibly present in/on the stool OR in the toilet AND not just on the tissue paper
  • New onset or worsening AND persistent rectal bleeding (ie. not just a single episode: present most days of the week for > 2 weeks)
  • Unexplained (ie. absence of complete colonoscopy within last 2 years)


*Concerning change in bowel habit (increase or decrease in frequency and/or consistency).


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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