From Dr. R. Patel, Family Medicine · Fax, 11:06 AM
Patient
W.H., 68 · BC PHN captured
Reason for referral
Visible hematuria, former smoker
Attached
Urinalysis, creatinine
CT urogram report
Requested from the referring office
Missing
Urgent · sent for physician review · Cystoscopy waitlist
Hematuria workups and bladder surveillance, sorted by risk and urgency.
Checks for
Urinalysis · Imaging · Smoking history
Rising PSA and abnormal exams prioritized, with MRI and biopsy pathways coordinated.
Checks for
PSA history · DRE findings · Prostate MRI
Stone referrals triaged by obstruction, size and symptoms.
Checks for
CT or ultrasound · Creatinine · Infection signs
Lower urinary tract symptoms prepared for flow and residual testing.
Checks for
Symptom score · Medications tried · PSA
High-volume consults booked efficiently with pre-procedure information sent ahead.
Checks for
Consult request · Contact preferences
Incontinence and voiding dysfunction referrals routed to the right testing.
Checks for
Bladder diary · Urine culture · Prior treatments
01
Referral received
Fax or eReferral, typed or scanned. Ample reads it on arrival and files it as a structured referral.
02
Completeness check
Urinalysis, PSA history, imaging and creatinine checked. Missing items are requested right away.
03
Urgency and waitlist
Visible hematuria, suspicious PSA trends and masses are flagged for urologist review first.
04
Booked and prepped
Patients are booked and sent your instructions: urine samples, full bladder or medication reviews.
Urologist review, first available slot
Visible hematuria
Rapidly rising PSA or abnormal exam
Suspected kidney or testicular mass
Obstructing stone with infection sent to emergency
Booked within your target window
Microscopic hematuria with risk factors
Recurrent urinary tract infections
Urinary retention with catheter
Symptomatic non-obstructing stones
Next available with the right urologist
BPH and urinary symptoms
Vasectomy consults
Erectile dysfunction
Stone surveillance
Ample suggests. Your physicians decide. Flagged referrals always go to physician review.
“What do I bring to my cystoscopy?”
“Do I stop my blood thinner?”
“Did you get my referral?”
“Can I move my biopsy?”
Cystoscopy patient · 5:55 PM
I got a letter about my cystoscopy next week. Do I need to bring anything?
Please bring your health card and a list of your medications. You mentioned a blood thinner, so I’ve flagged that for the nurse to review with you.
Okay, thank you.
Instructions sent by text
Nurse review queued
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.
