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Emergency Information 
Gastroenterology & Endoscopy Central Access and Triage   at
Central Zone and Area
Central Access Healthcare Service
Specialty: Gastroenterology
Connect Care Department: CENTRAL ZONE GI CAT
Estimated time to routine appointment: Not Available
Alberta Health Services - Central Zone
CENTRAL ACCESS SERVICES
This central access service is a single point of entry for Albertans in the Central Zone who need to see an endoscopist or require a colorectal cancer screening.
This central access service is a single point of entry for Albertans in the Central Zone who need to see an endoscopist or require a colorectal cancer screening.
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. Incomplete referrals will be rejected.
Complete the referral form and fax it to the service using the contact information in this profile. Incomplete referrals will be rejected.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type CENTRAL ZONE GI CAT in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type CENTRAL ZONE GI CAT in the “To Department” section and complete order.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
ADDITIONAL SERVICE DETAILS
You may contact RAAPID for patients that you identify to be urgent and require endoscopy within 2 weeks, please consult Gastroenterology through RAAPID:
• NORTH (patients north of Red Deer) at 1-800-282-9911 or 780-735-0811 or
• SOUTH (patients south of Red Deer) at 1-800-661-1700 or 403-944-4486
Communication of appointments will come from endoscopist offices, not Central Zone GI CAT, to patient and referral source.
Please follow-up with the endoscopist office directly.
You may contact RAAPID for patients that you identify to be urgent and require endoscopy within 2 weeks, please consult Gastroenterology through RAAPID:
• NORTH (patients north of Red Deer) at 1-800-282-9911 or 780-735-0811 or
• SOUTH (patients south of Red Deer) at 1-800-661-1700 or 403-944-4486
Communication of appointments will come from endoscopist offices, not Central Zone GI CAT, to patient and referral source.
Please follow-up with the endoscopist office directly.
 
CENTRAL ACCESS REFERRAL PHONE
CENTRAL ACCESS REFERRAL FAX
403-476-4736
REFERRAL FORMS
PATHWAYS
CENTRAL ACCESS LINKED SERVICES
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
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Include detailed documentation or medical summary of completed Chronic Abdominal Pain Primary Care Pathway including treatments tried if available.
 
N/A
Chronic abdominal pain
  • Refer to the Chronic Abdominal Pain Primary Care Pathway to help guide the care of your patient prior to referral.
  • If symptoms persist after completing the Chronic Abdominal Pain Clinical Pathway, send referral to Central Zone GI CAT team.
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Abnormal imaging
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Description of symptoms, i.e., unintended weight loss, and reason for requesting imaging
 
N/A
Copy of abnormal imaging report
 
N/A
Abnormal Imaging (Imaging of gastrointestinal tract abnormal)
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Acute hepatitis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Include a detailed medical history
  • co-morbidities
  • BMI
  • systemic symptoms (e.g. sore throat, rash)
  • other symptoms (e.g. jaundice, abdominal pain, etc.)
  • Medication history including herbs/remedies/all OTC drugs and illicit drugs
  • Alcohol intake
 
N/A
  • Liver enzymes: ALT, AST, Alk phos, GGT, LDH
  • Liver function: INR, total / direct bilirubin, albumin
  • CBC, electrolytes, creatinine, CK,/li>
  • Ultrasound
 
Within 1 month
  • Previous liver enzymes if available
  • Etiological:
    • Hep A IgM
    • Hep B surface Ag
    • Hep B core IgM
    • Hep C Ab
    • IgG; IgA, IgM
    • ANA (anti-nuclear antibodies)
    • SMA (anti-smooth muscle antibody)
    • AMA (anti-mitochondrial antibodies)
    • ceruloplasmin
    • copper
    • ATTG (anti-transglutaminase antibodies)
  • Toxin screen (acetaminophen, cocaine, if applicable)
 
Within 3 months
Acute hepatitis defined as ALT greater than 250-300 (if ALT over 1000, treat as urgent and please call RAAPID/on call).
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Alcoholic cirrhosis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Alcohol use
  • Symptoms of decompensation (i.e. jaundice, encephalopathy)
  • How was diagnosis established?
 
Current
  • CBC, electrolytes, creatinine
  • ALT, AST, ALP, GGT, INR
  • bilirubin (total/ direct)
  • albumin
 
Within 1 month
Liver enzymes (ALT, AST, Alk phos, GGT, LDH)
 
Within 3 months
Abdominal ultrasound (with hepatic/portal vein doppler were available)
 
Within 6 months
  • HBsAg, HBsAb, HB core antibody, HCV antibody, AMA (anti-mitrochondrial antibodies)
  • IgG, IgA, IgM, ANA (anti-nuclear antibodies)
  • Anti-smooth muscle antibody
  • ceruloplasmin, ferritin, transferrin saturation, alpha 1 antitrypsin level
  • Fibroscan results (if available)
  • CT/ MRI or US (if available)
 
Within 1 year
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Alcoholic liver disease
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Alcohol use
  • Symptoms (e.g. Jaundice, abdominal pain etc.)
  • Systemic symptoms (e.g. sore throat, rash etc.)
  • BMI
 
Current
  • CBC, electrolytes, creatinine, ALT, AST, ALP, bilirubin, INR, GGT, albumin, FIB-4
  • Shear Wave Elastography (SWE)
  • If elevated liver enzymes:
    • HBsAg, HBsAb
    • HB core antibody
    • HCV antibody
    • AMA (anti-mitrochondrial antibodies)
    • IgG, IgA, IgM, ANA
    • Anti-smooth muscle antibody
    • ceruloplasmin, ferritin
    • transferrin saturation
    • alpha 1 antitrypsin level
  • Ultrasound
 
Within 1 month
Toxin screen (acetaminophen, cocaine (if applicable)
 
Within 3 months
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Alpha-1-antitrypsin deficiency
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Alpha-1 Antitrypsin
 
Within 1 month
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Autoimmune hepatitis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Anti-smooth muscle antibody, antinuclear antibodies, IgG
  • ALT, AST, ALP, GGT, total/indirect bilirubin, albumin, INR
 
Within 3 months
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Barrett's esophagus
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Include detailed documentation or medical summary of completed GERD Primary Care Pathway including treatments tried if available.
 
N/A
  • Duration of symptoms
  • Diagnosis if present
  • Use of PPI
 
Within 1 month
CBC
 
Within 6 months
  • Refer to the GERD Primary Care Pathway to help guide the care of your patient prior to referral.
  • Previous gastroscopy report and pathology report
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Benign neoplasm of liver
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • CBC, electrolytes, creatinine, ALT, AST, ALP, GGT, INR, bilirubin, albumin
  • AFP
  • Abdominal CT or MRI abdomen or Contrast enhanced ultrasound
  • If not previously done:
    • HBsAg, HBsAb
    • HB core antibody
    • HCV antibody
    • AMA (anti-mitrochondrial antibodies)
    • IgG, IgA, IgM, ANA (anti-nuclear antibodies)
    • Anti-smooth muscle antibody
    • ceruloplasmin (if <30 years old)
    • ferritin, transferrin saturation
    • alpha 1 antitrypsin level
 
Within 3 months
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Celiac disease
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Indicate if patient is following a gluten-free diet
 
N/A
  • CBC, ferritin
  • TTG IGA
 
Within 6 months
  • Refer to the Celiac Disease Primary Care Pathway to help guide the care of your patient prior to referral.
  • Previous gastroscopy report and pathology report
  • If available, Folate, INR, Ca/albumin, B12
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Cirrhosis - non-alcoholic
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • CBC, electrolytes, creatinine, ALT, AST, ALP, GGT, INR, bilirubin, albumin
  • A1C
 
Within 1 month
Abdominal ultrasound
 
Within 6 months
  • HBsAg, HBsAb
  • HB core antibody
  • HCV antibody
  • AMA (anti-mitrochondrial antibodies)
  • IgG, IgA, IgM
  • ANA (anti-nuclear antibodies)
  • Anti-smooth muscle antibody
  • ceruloplasmin
  • ferritin, transferrin saturation
  • alpha 1 antitrypsin level
 
Within 1 year
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Decompensated cirrhosis of liver
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Abdominal ultrasound with doppler and/or abdominal MR
  • ALT, AST, ALP, GGT, total/indirect bilirubin, albumin, INR
  • CBC with differential
  • Fibroscan score (if available)
 
Within 3 months
  • Child-Pugh Class B or C
  • Ascites
  • Recent episode of hepatic encephalopathy
  • Varices with or without an episode of variceal GI bleeding shown on endoscopy
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Diarrhea
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Include detailed documentation or medical summary of completed Chronic Diarrhea Primary Care Pathway including treatments tried if available.
 
N/A
  • CBC, electrolytes
  • ferritin, C-reactive protein (CPR)
  • Fecal calprotectin test
 
Within time frame of current illness
Chronic Diarrhea
Chronic diarrhea is defined as 3 or more loose/watery stools per day, onset at least 4 weeks ago.
  • Refer to the Chronic Diarrhea Primary Care Pathway to help guide the care of your patient prior to referral
  • If symptoms persist after completing the Chronic Diarrhea Clinical Pathway, send referral to Central Zone GI CAT team.
  • Thyroid stimulating hormone (TSH)
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Dysphagia
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Include detailed medical summary of patient's history, symptoms, description of disease progression, and treatments to date.
 
N/A
Imaging results if available
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FIT - fecal immunochemical test positive
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Include detailed medical history, with list of medications
  • anticoagulant usage
  • co-morbidities (e.g. diabetes)
  • family history of cancer and polyps
 
N/A
Fecal Immunochemical Test (FIT) stool test indicating microscopic blood is present
 
Within 1 month
Body Mass Index (BMI)
 
Within 1 year of referral
CBC, electrolytes, creatinine/GFR
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Family history of colorectal cancer
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Include detailed medical history, with list of medications
  • anticoagulant usage
  • co-morbidities (e.g. diabetes)
  • summary of family history of colorectal cancer and polyps
 
N/A
Body Mass Index (BMI)
 
Within 1 year of referral
Copy of previous colonoscopy and pathology reports, if applicable.
 
N/A
Family history of polyp of colon
Includes: High Risk Adenomatous Polyps

Based on the age of affected first degree family members: Family history of colorectal cancer or advanced adenoma in one first degree relative less than or equal to 60 years or 2 or more affected first-degree relatives, any age.
For more information on surveillance guidelines: Screening for life guidelines
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GERD - Gastro-esophageal reflux disease
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Include detailed documentation or medical summary of completed GERD Primary Care Pathway including treatments tried if available.
 
N/A
  • Refer to the GERD Primary Care Pathway to help guide the care of your patient prior to referral.
  • If symptoms persist after completing the GERD Clinical Pathway, send referral to Central Zone GI CAT team.
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GI - Gastrointestinal bleed
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Include detailed medical history, incorporating duration, frequency of bleed, NSAID use, anti-coagulant and/or anti-platelet agent use.
 
N/A
• Hematemesis
• Melena

Note: For acute cases, call RAAPID.

If available: INR/PTT, Creatinine
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Hemochromatosis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • CBC, ferritin
  • Fasting glucose
  • Iron, TIBC
 
Within 1 month
  • AST, ALP, GGT, ALT, Bili T&D, Creatinine, LDH
  • HbA1C
  • TSH
 
Within 3 months
If available, please provide:
• Albumin, AFP, CRP
• PTH (female)
• Testosterone (male)
• Family history of hemochromatosis
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Hepatitis B
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Liver function:
    • INR
    • total/indirect bilirubin
    • albumin
  • CBC, electrolytes, creatinine, CK
  • Liver enzymes: ALT, AST, Alk Phos, GGT, LDH
 
Within 3 months
  • Hepatitis B surface antigen, Hepatitis B core IgM
  • HBV DNA
  • HDV
  • HIV
 
Within 6 months
Hepatitis B & C co-infection
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Hepatitis C
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Hepatitis C antibodies
  • Liver tests:
    • ALT,/li>
    • AST
    • Alk Phos
    • GGT
    • LDH
    • INR
    • total/indirect bilirubin
    • albumin
  • Fib 4
  • RNA
  • Ultrasound
  • Hep B
  • HIV
 
Within 6 months
Refer to the Hepatitis C Primary Care Pathway to help guide the care of your patient prior to referral.
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History of colorectal cancer
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Include detailed medical history, with list of medications
  • anticoagulant usage
  • co-morbidities (e.g. diabetes)
  • summary of history of colorectal cancer and polyps
 
N/A
Body Mass Index (BMI)
 
Within 1 year of referral
Copy of previous colonoscopy and pathology reports, if applicable
 
N/A
  • History of polyp of colon
  • Personal history of colorectal neoplasia
  • Includes: Colonic adenomas
  • For more information on surveillance guidelines: Screening for life guidelines
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IBD - inflammatory bowel disease
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
For active IBD:
  • Stools for C&S, O&P, and C. Difficile toxin
  • Fecal calprotectin
  • CBC, CRP
  • Celiac serology if not previously done
For inactive IBD:
  • All above except stool tests
 
Within 3 months
Inflammatory bowel disease (ulcerative colitis, Crohn’s disease)
  • Active or suspected IBD
  • Inactive IBD
For a severe flare up of Inflammatory Bowel Disease, refer patient to the emergency department or call RAAPID. A flare may include diarrhea, abdominal pain, bloody stools, rectal pain and bleeding.
  • Provide previous endoscopy report and histologic findings
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IDA - Iron deficiency anemia
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Include summary of completed Iron Deficiency Anemia Primary Care Pathway including treatments tried if available.
 
N/A
Include a detailed medical history, incorporating any GI symptoms, family history of GI malignancy (colorectal cancer, gastric cancer, celiac disease, IBD), duration & progression, and response to iron therapy (if applicable)
 
N/A
CBC, serum ferritin, creatinine
 
Within 8 weeks
  • Celiac Serology
  • If suspect Inflammatory Bowel Disease: C-reactive protein (CRP)
 
Within 5 years
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Irritable bowel syndrome
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Include summary of completed Irritable Bowel Syndrome Primary Care Pathway including treatments tried if available
 
N/A
  • CBC
  • Celiac serology
  • If applicable: for Irritable Bowel Syndrome-Diarrhea (IBS-D):
    • Fecal calprotectin (>200mcg/g)
    • C-reactive protein (CRP)
 
During the time frame of current illness
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Liver enzymes abnormal
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • CBC, electrolytes, creatinine
  • ALT, AST, ALP, GGT
  • INR, total bilirubin, albumin
 
Within 1 month
  • HBsAg, HBsAb, HB core antibody, HCV Antibody
  • AMA (anti-mitrochondrial antibodies), IgG, IgA, IgM, ANA (anti-nuclear antibodies), Anti-smooth muscle antibody
  • Ceruloplasmin, ferritin, transferrin saturation, alpha 1 antitrypsin level
  • Abdominal ultrasound
 
Within 6 months
Elevated Liver Enzymes
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Long term methotrexate user
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Detailed medical history including duration of methotrexate therapy
 
N/A
  • Methotrexate level
  • CBC, Electrolytes, Creatinine
  • Liver enzymes (ALT, AST, ALP), GGT
  • Liver function (INR,Bilirubin, Albumin)
 
Within 3 months
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NAFLD - nonalcoholic fatty liver disease
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • CBC, Electrolytes, Creatinine
  • Liver enzymes (ALT, AST, ALP), GGT
  • Liver function (INR, Bilirubin, Albumin)
  • FIB-4
  • HbA1C
  • Lipid panel
  • If not previously done, additional investigations:
    • Etiological (Hep B surface antigen
    • Hep C antibody
  • Fibroscan score with CAP score
  • BMI
 
Within 3 months
Note: NAFLD is also known as MASLD - Metabolic dysfunction associated steatosis liver disease

Refer to the Non-Alcoholic Fatty Liver Disease (NAFLD) Primary Care Pathway to help guide the care of your patient prior to referral.
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PVT - Portal vein thrombosis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Abdominal imaging results (CT or MRI)
 
Within 1 month
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Portal hypertension
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Imaging studies
  • CBC, creatinine, electrolytes
  • ALT, AST, ALP, INR
  • Fibroscan score
 
Within 1 month
Previous gastroscopy report
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Primary biliary cholangitis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Abdominal ultrasound
  • AMA (anti-mitrochondrial antibodies), ALP, IgM, ALT, AST
 
Within 3 months
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Primary sclerosing cholangitis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Liver enzymes (ALT, AST, ALP), GGT
  • Liver functions (INR, Bilirubin, Albumin)
 
Within 3 months
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Rectal bleeding
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • DRE Findings or explanation of why unable to complete a DRE
  • Completed High Risk Rectal Bleeding Checklist or contents of checklist in referral letter
  • Include documentation or medical summary of completed High Risk Rectal Bleeding Pathway for Colorectal Cancer (CRC) Diagnosis Primary Care Pathway
 
N/A
  • CBC
  • creatinine
  • serum iron
  • TIBC and
  • serum ferritin
 
During the time frame of current illness
High Risk Rectal Bleeding Pathway for Colorectal Cancer Diagnosis – Referral Checklist

Refer to the High Risk Rectal Bleeding Pathway for Colorectal Cancer (CRC) Diagnosis Primary Care Pathway to help guide the care of your patient prior to referral.
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Sarcoidosis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Alk Phos, ALT, AST, ASLP
 
Within 1 month
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Unexplained weight loss
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
  • Include a detailed medical history, including a description of the amount of weight loss (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.
 
N/A
  • CBC
  • Celiac serology/screen, TTG IgA, albumin
  • Creatinine
  • Electrolytes
  • Ferritin
  • TSH
  • Liver enzymes (AST, ALT, ALP, GGT), bilirubin, lipase
 
Within 6 months

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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
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IDA - Iron deficiency anemia
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Urgent referral consists of:
  • IDA with Hgb <110g/L in men or Hgb <100 in women or requires at least one of the following alarm 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)
Semi-urgent referral consists of:
  • IDA with Hgb 110-130g/L in men or Hgb 100-120 g/L women
  • resolved IDA or iron deficiency (ferritin <45) without anemia
 
N/A
  • Include a detailed medical history, incorporating any medications
  • GI symptoms or GI disease (celiac disease, IBD)
  • family history of GI malignancy (colorectal cancer, gastric cancer)
  • duration & progression
 
N/A
CBC, ferritin, creatinine
 
Within 8 weeks
Celiac Serology
 
Within 5 years
Provide previous colonoscopy/flexible sigmoidoscopy or imagine reports, if available.
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Rectal bleeding
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
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)
 
N/A
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 (Hgb <100 g/L men and Hgb <100 g/L women)
  • Iron deficiency (serum ferritin below lower limit of normal)
  • New onset or progressive unintentional weight loss (> 5-10% of body weight over 6 months)
  • Concerning change in bowel habit
 
N/A
  • Include a detailed medical history, incorporating any medications
  • co-morbidities and family history
  • Describe any recent change in bowel habit (duration and frequency).
 
N/A
Explanation of why unable to complete a DRE:
  • Within 8 week
  • Within 1 month: Ulcerative colitis is suspected
 
N/A
High Risk Rectal Bleeding defined as (all symptoms 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 (e.g. not just a single episode; present most days of the week for > 2 weeks)
  • Unexplained (e.g. absence of complete colonoscopy within last 2 years)
Concerning change in bowel habit (increase or decrease in frequency and/or consistency).
  • Provide previous colonoscopy/flexible sigmoidoscopy or imagine reports, if available.


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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V6.5