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Hepatopancreaticobiliary Group   at
Foothills Medical Centre
Estimated time to routine appointment: Within 2 weeks
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
Hepatopancreaticobiliary (HPB) surgery provides care for patients with lesions of the liver, gallbladder, bile ducts and pancreas e.g. tumours in that region, liver metastases, biliary strictures, choledochal cysts and pancreatitis.

The HPB group works out of the Foothills Medical Centre and they serve all of Southern Alberta and parts of Southern BC.
Hepatopancreaticobiliary (HPB) surgery provides care for patients with lesions of the liver, gallbladder, bile ducts and pancreas e.g. tumours in that region, liver metastases, biliary strictures, choledochal cysts and pancreatitis.

The HPB group works out of the Foothills Medical Centre and they serve all of Southern Alberta and parts of Southern BC.
ELIGIBILITY REQUIREMENTS
ROUTINE REFERRAL PROCESS
Fax completed referral to the number indicated below.
Fax completed referral to the number indicated below.
URGENT REFERRAL PROCESS
Fax completed referral form indicating "urgent" to the number indicated below and call HPB surgeon on call (FMC Main Switchboard - 403-944-1110) to discuss. 
The following conditions are considered "urgent";
  • severe acute pancreatitis with necrosis (AP)
  • newly diagnosed lesion, tumor or masses (suspicious for cancer) of the liver, pancreas, bile ducts or gallbladder
  • complicated pancreatitis
  • complicated gallstone disease
  • any cystic lesions of the liver, pancreas, duodenum, bile ducts
  • obstructive jaundice
  • liver metastases of any origin that require assessment for ablative treatments or resection
Fax completed referral form indicating "urgent" to the number indicated below and call HPB surgeon on call (FMC Main Switchboard - 403-944-1110) to discuss. 
The following conditions are considered "urgent";
  • severe acute pancreatitis with necrosis (AP)
  • newly diagnosed lesion, tumor or masses (suspicious for cancer) of the liver, pancreas, bile ducts or gallbladder
  • complicated pancreatitis
  • complicated gallstone disease
  • any cystic lesions of the liver, pancreas, duodenum, bile ducts
  • obstructive jaundice
  • liver metastases of any origin that require assessment for ablative treatments or resection
EMERGENCY REFERRAL PROCESS
The following conditions are considered Emergent (please page the Hepatopancreaticobiliary (HPB) surgeon on call through the Foothills Medical Centre main switchboard at 403-944-1110);
  • complete obstruction
  • ascending cholangitis of bleeding from tumor of pancreas, liver or biliary system
  • traumatic injuries to the bile duct, liver or pancreas
The following conditions are considered Emergent (please page the Hepatopancreaticobiliary (HPB) surgeon on call through the Foothills Medical Centre main switchboard at 403-944-1110);
  • complete obstruction
  • ascending cholangitis of bleeding from tumor of pancreas, liver or biliary system
  • traumatic injuries to the bile duct, liver or pancreas
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Wait list status update every 14 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
403-944-1110
FAX
403-476-8798
REFERRAL FAX
403-476-8798
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
Acute pancreatitis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Lipase
 
Within 1 month/if available
Severe acute pancreatitis with necrosis (AP) is considered Urgent.

Ascending cholangitis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available
Ascending cholangitis or bleeding from tumor of pancreas, liver or biliary system is considered EMERGENT. 
Page Hepatopancreaticobiliary (HPB) surgeon on call through FMC main switchboard at 403-944-1110.

Biliary stricture
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Tumour markers (CEA, CA19-9)
 
Within 1 month/if available
Tumour markers (CEA, CA19-9)
Any biliary strictures are considered Urgent.

Cancer in situ of common bile duct
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Tumour markers (CEA, CA19-9)
 
Within 1 month/if available
Newly diagnosed lesion, tumor or masses (suspicious for cancer) of the liver, pancreas, bile ducts or gallbladder.

Cancer in situ of pancreas
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Tumour markers (CEA, CA19-9)
 
Within 1 month/if available
Newly diagnosed lesion, tumor or masses (suspicious for cancer) of the liver, pancreas, bile ducts or gallbladder.

Cancer metastatic to liver
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Tumour markers (CEA, CA19-9)
 
Within 1 month/if available
Liver metastases of any origin that require assessment for ablative treatments or resection.

Chronic pancreatitis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Lipase
 
Within 1 month/if available
Includes chronic pancreatitis and benign diseases of liver, pancreas and biliary system.

Cystic disease of liver
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Gallbladder Ca
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available
Newly diagnosed lesion, tumor or masses (suspicious for cancer) of the liver, pancreas, bile ducts or gallbladder.

Gallstone
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available
Complicated gallstone disease is considered Urgent.

Liver cancer
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Alphafetoprotein
 
Within 1 month/if available

Hepatitis serology
 
Within 1 month/if available

Tumour markers (CEA, CA19-9)
 
Within 1 month/if available
Newly diagnosed lesion, tumor or masses (suspicious for cancer) of the liver, pancreas, bile ducts or gallbladder.

Obstructive jaundice
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Tumour markers (CEA, CA19-9),
 
Within 1 month/if available

Traumatic injury
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Provide specific symptom information deemed relevant
 
Within 1 month

CBC
 
Within 1 month/if available

Albumin, ALT, Alk Phos, T-Bili
 
Within 1 month/if available

Copy of all biopsy results
 
If available

Copy of all imaging results
 
If available

Copy of all endoscopy and other interventional reports
 
If available

Describe injury to the bile duct, liver or pancreas
 
As applicable
Traumatic or iatrogenic injuries to the bile duct, liver or pancreas are considered Emergent.
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
Contact clinic as soon as possible if unable to attend scheduled appointment.
Contact clinic as soon as possible if unable to attend scheduled appointment.
 
HOURS OF OPERATION
Monday: 09:00 am - 04:00 pm
Tuesday: 09:00 am - 04:00 pm
Wednesday: 09:00 am - 04:00 pm
Thursday: 09:00 am - 04:00 pm
Friday: 09:00 am - 04:00 pm
   
 
ADDRESS
1403 - 29th Street NW
Calgary Alberta
T2N 4W4
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
Foothills Medical Centre site information
Foothills Medical Centre site information
 
PHONE
403-944-1110
 
PARKING INSTRUCTIONS

Due to ongoing construction at the Foothills Medical Centre please allow for additional time for parking and making your way to your appointment.

Due to ongoing construction at the Foothills Medical Centre please allow for additional time for parking and making your way to your appointment.

 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
 
WHEELCHAIR ACCESSIBILITY

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.

 

V6.5