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This healthcare service has 1 current healthcare service locations.
Hepatology Central Access and Triage   at
Calgary Zone and Area
Central Access Healthcare Service
Specialty: Gastroenterology, Hepatology
Connect Care Department: CALGARY ZONE HEPATOLOGY CAT
Estimated time to routine appointment: Not Available
Alberta Health Services - Calgary Zone
CENTRAL ACCESS SERVICES
A central intake for all Hepatologists in the Calgary Zone.The Hepatology service sees patients for a variety of liver conditions, including cirrhosis, chronic liver disease, some liver malignancies, fatty liver disease, and Viral Hepatitis (B and C).
A central intake for all Hepatologists in the Calgary Zone.The Hepatology service sees patients for a variety of liver conditions, including cirrhosis, chronic liver disease, some liver malignancies, fatty liver disease, and Viral Hepatitis (B and C).
ELIGIBILITY REQUIREMENTS
  1. Refer patients under 17 years of age to the pediatric Hepatology service
  2. Refer patients requiring surgical intervention to the appropriate Surgical service
  3. Refer patients requiring cancer treatment to the appropriate Oncology service
  1. Refer patients under 17 years of age to the pediatric Hepatology service
  2. Refer patients requiring surgical intervention to the appropriate Surgical service
  3. Refer patients requiring cancer treatment to the appropriate Oncology service
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 on this profile.
Complete the referral form and fax it to the service using the contact information on this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type CALGARY ZONE HEPATOLOGY CAT in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type CALGARY ZONE HEPATOLOGY CAT in the “To Department” section and complete order.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Wait list status update every 90 days.
  • Appointment outcome to referral source within 30 days.
ADDITIONAL SERVICE DETAILS
We offer the following services:
  • consultation and treatment
  • medication counseling and monitoring
  • endoscopic interventions as needed
  • paracentesis and other comfort measures
  • palliative Care and end of life support
Remember to bring your Alberta Healthcare card and a piece of photo ID. If you have personal or private healthcare insurance please bring the documents with you.
 
What to expect:
Once you arrive at the clinic, check in at the front desk.
You may be in the clinic for up to one hour, so please come prepared.
When you see the hepatologist you will review your medical history and talk about the reason for your visit.
After the hepatologist examines you, you and the hepatologist will talk about the best treatment choices for you.
Treatment choices may include medication therapy, further laboratory investigations, endoscopic procedure or a referral to another healthcare provider such as social worker/dietitian.
You may return for your follow-up appointments.
We offer the following services:
  • consultation and treatment
  • medication counseling and monitoring
  • endoscopic interventions as needed
  • paracentesis and other comfort measures
  • palliative Care and end of life support
Remember to bring your Alberta Healthcare card and a piece of photo ID. If you have personal or private healthcare insurance please bring the documents with you.
 
What to expect:
Once you arrive at the clinic, check in at the front desk.
You may be in the clinic for up to one hour, so please come prepared.
When you see the hepatologist you will review your medical history and talk about the reason for your visit.
After the hepatologist examines you, you and the hepatologist will talk about the best treatment choices for you.
Treatment choices may include medication therapy, further laboratory investigations, endoscopic procedure or a referral to another healthcare provider such as social worker/dietitian.
You may return for your follow-up appointments.
 
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 hepatitis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Alcoholic cirrhosis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

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

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Alpha-1-antitrypsin deficiency
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Autoimmune hepatitis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Benign neoplasm of liver
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

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

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

  • Alcohol intake
  • BMI
  • Comorbidities (e.g. DM, cholesterol, CAD etc), thyroid disease
  • Symptoms (e.g. jaundice, abdominal pain, confusion, pruritus, pedal edema, ascites, GI bleeding
 
Current

  • CBC, electrolytes, creatinine, CK
  • Liver enzymes:
    • AST
    • GGT
    • ALT
    • Alk phos
    • LDH
  • Liver functions:
    • Albumin
    • INR
    • INR
    • Total/direct bilirubin
  • Fasting lipids and A1c if applicable
 
Within 3 months

  • Abdominal ultrasound (with hepatic /portal vein doppler where available
  • Etiological:
    • Hep B, C serology
    • IgG,IgA,IgM
    • ANA (anti-nuclear antibodies)
    • SMA (antismooth muscle antibody)
    • AMA (anti-mitochondrialantibodies)
    • ceruloplasmin, copper, ferritin, transferrin saturation
    • alpha 1 antitrypsin level
    • ATTG (anti-transglutaminase antibodies)
  • old liver enzymes
 
Within 6 months

Cirrhosis - non-alcoholic
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

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

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

  • Alcohol use
  • Etiology - when / if established
  • How was diagnosis established?
  • Symptoms of decompensation (i.e. jaundice, encephalopathy)
 
Current

  • CBC, electrolytes, creatinine, CK
  • Fibroscan results (if available)
  • Liver enzymes:
    • AST
    • GGT
    • ALT
    • Alk phos
    • LDH
  • Liver function:
    • Albumin
    • INR
    • Total/direct bilirubin
 
Within 3 months

  • Abdominal ultrasound (with hepatic / portal vein doppler where available
  • CT / MRI or US if available
 
Within 6 months

Etiological:
  • Hep B, C serology
  • IgG, IgA, IgM
  • ANA (anti-nuclear antibodies)
  • SMA (antismooth muscle antibody)
  • AMA (anti-mitochondrialantibodies)
  • ceruloplasmin
  • copper
  • ferritin
  • transferrin saturation
  • alpha 1 antitrypsin level
  • ATTG (anti-transglutaminase antibodies)
 
Within 1 year (if not previously done)

If available: Liver biopsy / endoscopy results
 
N/A
  • Decompensated jaundice, encephalopathy, ascites or varices
  • Compensated

Decompensated cirrhosis of liver
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Elevated liver enzymes level
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

  • Alcohol intake
  • BMI
  • Comorbidities (e.g. DM, cholesterol, CAD etc), thyroid disease
  • Symptoms (e.g. jaundice, abdominal pain, confusion, pruritus, pedal edema, ascites, GI bleeding
 
Current

  • CBC, electrolytes, creatinine, CK
  • Fibroscan results (if available)
  • Liver enzymes:
    • AST
    • GGT
    • ALT
    • Alk phos
    • LDH
  • Liver function:
    • Albumin
    • INR
    • Total/direct bilirubin
  • Fasting lipids and A1c if applicable
 
Within 3 months

  • Abdominal ultrasound (with hepatic /portal vein doppler where available
  • Etiological:
    • Hep B, C serology
    • IgG, IgA, IgM
    • ANA (anti-nuclear antibodies)
    • SMA (antismooth muscle antibody)
    • AMA (anti-mitochondrialantibodies)
    • ceruloplasmin
    • copper
    • ferritin
    • transferrin saturation
    • alpha 1 antitrypsin level
    • ATTG (anti-transglutaminase antibodies)
  • Old liver enzymes
 
Within 6 months

HCC - Hepatocellular carcinoma
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

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

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

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

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

  • Alcohol Intake
  • BMI
  • DM
  • Symptoms (e.g. jaundice, abdominal pain, etc)
  • Systemic symptoms (ie: sore throat, rash, etc)
 
Current

  • CBC, electrolytes, creatinine, CK
  • Liver enzymes:
    • ALT
    • AST
    • Alk phos
    • GGT
    • LDH
  • Liver function:
    • Albumin
    • INR
    • Total/direct bilirubin
  • Ultrasound
     
    Within 1 month

    Etiological:
    • Hep B, C serology
    • IgG, IgA, IgM
    • ANA (anti-nuclear antibodies)
    • SMA (antismooth muscle antibody)
    • AMA (anti-mitochondrial antibodies)
    • ceruloplasmin
    • copper
    • ferritin
    • transferrin saturation
    • alpha 1 antitrypsin level
    • ATTG (anti-transglutaminase antibodies)
    • Previous liver enzymes if available
    • Toxin screen (acetaminophen, cocaine, if applicable)
     
    Within 3 months
    • ALT & AST is > 250

    Hepatitis B
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    Hepatitis B and hepatitis C
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    Hepatitis C
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    Hepatitis D
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    Hepatitis E
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

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

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    • Alcohol Intake
    • BMI
    • DM
    • Symptoms (e.g. jaundice, abdominal pain, etc)
    • Systemic symptoms (ie: sore throat, rash, etc)
     
    Current

    • CBC
    • electrolytes
    • creatinine
    • CK
    • Liver enzymes:
      • ALT
      • AST
      • Alk Phos
      • GGT
      • GGT
      • LDH
    • Liver function:
      • Albumin
      • INR
      • Total/direct bilirubin
    • Ultrasound
     
    Within 1 month

    Etiological:
    • Hep B, C serology
    • IgG, IgA, IgM
    • ANA (anti-nuclear antibodies)
    • SMA (antismooth muscle antibody)
    • AMA (anti-mitochondrial antibodies)
    • ceruloplasmin
    • copper
    • ferritin
    • transferrin saturation
    • alpha 1 antitrypsin level
    • ATTG (anti-transglutaminase antibodies)
    • Previous liver enzymes if available
    • Toxin screen (acetaminophen, cocaine, if applicable)
     
    Within 3 months
    Specifically Acute Liver Disease
    • ALT & AST is > 250

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

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

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

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    • Hx of liver disease/ cirrhosis
    • Metastatic cancer to liver excluded (i.e. no colon cancer, breast cancer, etc.)
    • Weight and BMI
     
    Current

    • CBC
    • electrolytes
    • creatinine
    • CK
    • Liver enzymes:
      • ALT
      • AST
      • Alk Phos
      • GGT
      • GGT
      • LDH
    • Liver function:
      • Albumin
      • INR
      • Total/direct bilirubin
     
    Within 1 month

    Alpha fetoprotein
     
    Within 3 months

    If not previously done:
    • CT / MRI or US if available
    • Etiological:
      • Hep B, C serology
      • IgG, IgA, IgM
      • ANA (anti-nuclear antibodies)
      • SMA (antismooth muscle antibody)
      • AMA (anti-mitochondrial antibodies)
      • ceruloplasmin
      • copper
      • ferritin
      • transferrin saturation
      • alpha 1 antitrypsin level
      • ATTG (anti-transglutaminase antibodies)
     
    N/A
    Specifically Isolated Liver Mass

    Long term methotrexate user
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    MASLD - metabolic dysfunction-associated steatotic liver disease
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    NAFLD - nonalcoholic fatty liver disease
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    PVT - Portal vein thrombosis
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

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

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    Portal hypertension
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

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

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

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

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current

    Wilson disease
    Medication List (dose, frequency, route)
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Description, onset and duration of symptoms
     
    Current


    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.

     

    V6.6