Inflammatory bowel disease
Adult

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Emergency Referrals

Useful Management Information

Refer to HealthPathways for assessment and management recommendations.
Smoking cessation is likely to reduce disease activity in Crohn's disease

Note: If a patient who has been fully investigated 2 years prior to referral. Then the referrer and the receiving clinician will need to exercise clinical decision making in triaging and or value in repeat endoscopy / colonoscopy procedures

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?

Category 1 (appointment within 30 calendar days)	Previously diagnosed or suspected inflammatory bowel disease with any of the following concerning features: ≥5% unintentional weight loss over 6 months Gastrointestinal bleeding Iron deficiency (as defined) Persistent vomiting Abnormal imaging or abdominal/rectal mass Persistent unexplained abdominal pain Fever (particularly with abdominal or systemic features) Symptoms of bowel obstruction Nocturnal diarrhoea Significant diarrhoea (≥6 bowel motions per day) Severe urgency or incontinence Significant abnormalities in investigations (e.g. Hb <100 g/L, elevated CRP, faecal calprotectin >200 mcg/g)
Category 2 (appointment within 90 calendar days)	Stable previously diagnosed inflammatory bowel disease without concerning features (as defined above) Suspected / un-diagnosed IBD without concerning features (as defined above
Category 3 (appointment within 365 calendar days)	No category 3 criteria
If your patient does not meet the minimum referral criteria Assessment and management information may be found on a range of conditions at HealthPathways If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested: Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.) Please note that your referral may not be accepted or may be redirected to another service

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

ELFT, FBC, iron studies results
CRP results
Stool M/C/S and PCR including Clostridium difficile (Category 1 referrals only)
Relevant imaging reports

Additional Referral Information

Faecal calprotectin
25-OH vitamin D, vitamin B12 results
Previous endoscopic procedures (date, report and histology)
If known inflammatory bowel disease, prior specialist correspondence

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Medical Objects Account: GQ42150009Z

HealthLink EDI: Qldgchsd

Internal Referrals

Gastroenterology qhRefer

Fax

07 5687 4497

Post

Booking and Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

1300 559 083

Related HealthPathways

No directly related pathways found

HealthPathways home page

Service Availability

Dr Russell Canavan

Medical Director Hepatology, and Gastroenterology

Facilities

Gold Coast University Hospital

Robina Hospital

Varsity Lakes Day Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Inflammatory bowel diseaseAdult