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This healthcare service has 5 current healthcare service locations.
Lymphoma Diagnosis Program   at
Arthur J.E. Child Comprehensive Cancer Centre
Specialty: Hematology
Connect Care Department: CGY ACCC HEMATOLOGY CL
Estimated time to routine appointment: Within 1 month
Alberta Health Services - Cancer Care Alberta
SERVICE DESCRIPTION
Offers a timely, healthcare team assessment and facilitates investigations for people who may have lymphoma.The Lymphoma Diagnosis Program's role is to support patients with presentations that have a high likelihood of being a lymphoma diagnosis and expedite their care from the point of suspicion through diagnostic work-up, staging, definitive diagnosis and eventual consult with an oncologist.
This program works to ensure people with lymphoma get faster access to treatment. The program seeks to improve the patient journey, patient outcomes and standardize care delivery across the province.
Services provided by the program include:
  • coordination of diagnostic and staging investigations
  • care coordination by nurses who are specialized in lymphoma
  • timely consults with oncologist / hematologist
  • patient education and supportive care to assist with decisions about treatment options
Offers a timely, healthcare team assessment and facilitates investigations for people who may have lymphoma.The Lymphoma Diagnosis Program's role is to support patients with presentations that have a high likelihood of being a lymphoma diagnosis and expedite their care from the point of suspicion through diagnostic work-up, staging, definitive diagnosis and eventual consult with an oncologist.
This program works to ensure people with lymphoma get faster access to treatment. The program seeks to improve the patient journey, patient outcomes and standardize care delivery across the province.
Services provided by the program include:
  • coordination of diagnostic and staging investigations
  • care coordination by nurses who are specialized in lymphoma
  • timely consults with oncologist / hematologist
  • patient education and supportive care to assist with decisions about treatment options
ELIGIBILITY REQUIREMENTS
Presence of all three features below are indications for referral:
  • Lymph node size >1cm supraclavicular, >2cm neck, >3cm axilla/groin
  • Persistent or enlarging node(s) >2weeks
  • Nodes are not explained by signs or symptoms of:
    • Autoimmune disease (arthritis, morning stiffness, rash, Raynaud’s)
    • Infection (chills, morning/afternoon fever, sore throat, nasal congestion, cough, diarrhea, skin ulcer/lesions, recent travel or other exposures)
Radiological indications for referral:
  • Single enlarged lymph node >3cm short axis and abnormal morphology suggestive of lymphoma
  • Multiple enlarged lymph nodes with abnormal morphology suggestive of lymphoma with some nodes reaching a size ³ 2cm in short axis
  • A conglomerate nodal mass (neck, mediastinum, mesentery, retroperitoneum)
  • A mass in the anterior mediastinum or elsewhere where the primary imaging concern is lymphoma
  • Splenomegaly with multiple focal solid abnormalities
Other considerations that increase the likelihood of a lymphoma diagnosis:
  • Age older than 40 years
  • Fixed or Matted (non-mobile)
  • Supraclavicular in location
  • Lymphadenopathy that is only mildly or non-tender
  • Generalized lymphadenopathy (two or more regions involved)
  • Systemic signs and symptoms: “B symptoms” (fever, drenching night sweats, >10% weight loss), hepatosplenomegaly, pruritus
Presence of all three features below are indications for referral:
  • Lymph node size >1cm supraclavicular, >2cm neck, >3cm axilla/groin
  • Persistent or enlarging node(s) >2weeks
  • Nodes are not explained by signs or symptoms of:
    • Autoimmune disease (arthritis, morning stiffness, rash, Raynaud’s)
    • Infection (chills, morning/afternoon fever, sore throat, nasal congestion, cough, diarrhea, skin ulcer/lesions, recent travel or other exposures)
Radiological indications for referral:
  • Single enlarged lymph node >3cm short axis and abnormal morphology suggestive of lymphoma
  • Multiple enlarged lymph nodes with abnormal morphology suggestive of lymphoma with some nodes reaching a size ³ 2cm in short axis
  • A conglomerate nodal mass (neck, mediastinum, mesentery, retroperitoneum)
  • A mass in the anterior mediastinum or elsewhere where the primary imaging concern is lymphoma
  • Splenomegaly with multiple focal solid abnormalities
Other considerations that increase the likelihood of a lymphoma diagnosis:
  • Age older than 40 years
  • Fixed or Matted (non-mobile)
  • Supraclavicular in location
  • Lymphadenopathy that is only mildly or non-tender
  • Generalized lymphadenopathy (two or more regions involved)
  • Systemic signs and symptoms: “B symptoms” (fever, drenching night sweats, >10% weight loss), hepatosplenomegaly, pruritus
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 referral form and fax it to the service using the contact information in this profile.
Referrals must include the necessary investigations and requirements.
Refer to the Lymph Node Assessment Primary Care Pathway
All referrals meeting the referral criteria for a high likelihood of lymphoma will be triaged as urgent.
Complete referral form and fax it to the service using the contact information in this profile.
Referrals must include the necessary investigations and requirements.
Refer to the Lymph Node Assessment Primary Care Pathway
All referrals meeting the referral criteria for a high likelihood of lymphoma will be triaged as urgent.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Hematology, type CGY ACCC HEMATOLOGY CL in the “To Department” section and complete order.
All referrals meeting the referral criteria for a high likelihood of lymphoma will be triaged as urgent.
Send an Internal Referral using the Ambulatory Referral Order to Hematology, type CGY ACCC HEMATOLOGY CL in the “To Department” section and complete order.
All referrals meeting the referral criteria for a high likelihood of lymphoma will be triaged as urgent.
ADDITIONAL SERVICE DETAILS
Please note that the patient must be notified of referral to the Lymphoma Diagnosis Program prior to submission.
Please note that the patient must be notified of referral to the Lymphoma Diagnosis Program prior to submission.
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 14 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
587-231-4070
FAX
587-231-3580
REFERRAL PHONE
587-231-4070
REFERRAL FAX
587-231-3580
REFERRAL FORM
CLICK + TO VIEW REFERRAL GUIDELINES
+-
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
+-
Lymphadenopathy
Allergies
 
Current
Associated Signs and Symptoms: fever, sweats, abdominal pain, weight loss >10%, dyspnea, back pain, pruritus
 
Current
Biopsies: FNA, Core needle, Surgical, Scope
 
Within 1 month
Duration of Lymphadenopathy * <2 weeks * 2-4 weeks * >4 weeks
 
Current
List of comorbidities
 
Current
Lymphadenopathy on physical exam: *Supraclavicular >1 cm *Neck >2 cm *Axillary >3 cm *Inguinal >3 cm *Femoral >3 cm
 
Current
Lymphadenopathy unexplained by autoimmune disease or infection
 
Current
Medication List (dose, frequency, route)
 
Current
Past Medical and Surgical History
 
Current
Relevant blood work: CBCD, Lytes, Creatinine, LFTs, LDH, Calcium, INR/PTT
 
Within 1 month
Relevant imaging studies: CXR, CT neck, CT chest, CT abdomen/pelvis, MRI, U/S, other
 
Within 1 month
Program will arrange whole body CT scan, image guided core biopsy and cancer centre appointment

FNA strongly discouraged as it does not provide adequate tissue for diagnosis
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
Please be aware that if 3 appointments are missed without reason, we will require a new referral to be sent from the referring provider.
Please be aware that if 3 appointments are missed without reason, we will require a new referral to be sent from the referring provider.
 
HOURS OF OPERATION
Monday: 8:15 am - 4:30 pm
Tuesday: 8:15 am - 4:30 pm
Wednesday: 8:15 am - 4:30 pm
Thursday: 8:15 am - 4:30 pm
Friday: 8:15 am - 4:30 pm
Description:
Closed stat holidays 
   
 
ADDRESS
3395 Hospital Drive NW
Calgary Alberta
T2N 5G2
PATIENT APPOINTMENT INSTRUCTIONS
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • Please make sure to have someone with you if you are unable to communicate in English
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • Please make sure to have someone with you if you are unable to communicate in English
 
DIRECTIONS
If approaching from the east, use the East Site
Entrance off 29th Street NW.

If approaching from the west, use the Hospital
Drive turn-off from 16th Avenue.
If approaching from the east, use the East Site
Entrance off 29th Street NW.

If approaching from the west, use the Hospital
Drive turn-off from 16th Avenue.
 
PHONE
587-231-4070
 
PARKING INSTRUCTIONS
The closest parking option is located in the underground parking lot of the Arthur Child, directly off of Hospital Drive. Paid parking is available.
The closest parking option is located in the underground parking lot of the Arthur Child, directly off of Hospital Drive. Paid parking is available.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
 
WHEELCHAIR ACCESSIBILITY
Yes

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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