From Dr. A. Chen, Family Medicine · Fax, 2:14 PM
Patient
J.M., 61 · OHIP number captured
Reason for referral
Positive FIT, iron-deficiency anemia
Attached
FIT result, CBC, ferritin
OHIP version code
Requested from the referring office
Missing
Urgent · sent for physician review · Colonoscopy waitlist
Diagnostic, screening follow-up and surveillance colonoscopies, sorted by indication.
Checks for
FIT result · CBC & ferritin · Anticoagulants · Prior scope report
Upper endoscopy for dysphagia, reflux with alarm features, anemia and Barrett’s surveillance.
Checks for
Symptoms & duration · PPI trial · CBC · Prior pathology
Shorter-prep scopes for rectal bleeding and left-sided symptoms where your protocol allows.
Checks for
Bleeding history · Hemoglobin · Age & risk factors
Liver elastography for fatty liver disease, hepatitis and abnormal liver enzymes.
Checks for
Liver enzymes · Hepatitis serology · Ultrasound report
New and known Crohn’s, colitis and liver patients routed to the right physician.
Checks for
Calprotectin · Recent bloodwork · Current meds
Positive FIT referrals from Ontario’s ColonCancerCheck and BC’s Colon Screening Program, fast-tracked.
Checks for
FIT date & result · Health card number · Prior colonoscopy
01
Referral received
Fax or eReferral, typed or scanned. Ample reads it the moment it arrives and files it as a structured referral.
02
Completeness check
FIT result, CBC, ferritin and anticoagulants checked. Missing items are requested from the referring office.
03
Urgency and waitlist
Alarm features are flagged for physician review, then each patient joins the right procedure waitlist.
04
Booked and prepped
Patients are booked, sent your bowel prep instructions and reminded to arrange an escort after sedation.
Physician review, first available scope
Positive FIT
Iron-deficiency anemia
Rectal bleeding with weight loss
Dysphagia or suspicious imaging
Booked within your target window
Persistent change in bowel habits
Elevated liver enzymes
Chronic diarrhea
Known IBD with flare symptoms
Next available with the right physician
Surveillance colonoscopy
Reflux without alarm features
FibroScan for fatty liver
Family history screening
Ample suggests. Your physicians decide. Flagged referrals always go to physician review.
“When do I start my bowel prep?”
“Can I keep taking my iron pills?”
“Do I need someone to drive me home?”
“I need to move my colonoscopy.”
Colonoscopy patient · 8:05 PM
My colonoscopy is Thursday morning. When do I start the prep?
Your clinic’s instructions start with a low-fibre diet on Tuesday and clear fluids all day Wednesday. I’ve just texted you the full prep sheet.
Thanks. And I need a driver, right?
Prep sheet sent by text
Escort reminder set
Call summary added to the patient’s chart
Accuro, OSCAR Pro, PS Suite, Med Access, Juno and virtually any other EMR. Referrals, waitlist status and bookings stay in sync, so nothing is re-keyed from a fax.
