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Pediatric Immunology Clinic   at
Alberta Children's Hospital
Specialty: Pediatric Immunology
Connect Care Department: CGY ACH IMMUNOLOGY CL
Estimated time to routine appointment: 6 to 14 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
This clinic assesses for immune system disorders in children.Assessment, diagnosis, and treatment of immune system disorders like immunodeficiency or immune dysregulation (when the immune system does not work properly).
This clinic assesses for immune system disorders in children.Assessment, diagnosis, and treatment of immune system disorders like immunodeficiency or immune dysregulation (when the immune system does not work properly).
ELIGIBILITY REQUIREMENTS
Children from birth up to their 18th birthday.

We do not have an Allergy Clinic at the Alberta Children’s Hospital. We do NOT accept referrals for allergy assessments.
We do NOT accept referrals for suspected Mast Cell Activation Disorders.
Children from birth up to their 18th birthday.

We do not have an Allergy Clinic at the Alberta Children’s Hospital. We do NOT accept referrals for allergy assessments.
We do NOT accept referrals for suspected Mast Cell Activation Disorders.
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 in this profile
Urgent Referrals: Please call the ACH main switchboard at (403) 955-7211 and ask to page the immunologist on call.
Complete the referral form and fax it to the service using the contact information in this profile
Urgent Referrals: Please call the ACH main switchboard at (403) 955-7211 and ask to page the immunologist on call.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Immunology, type CGY ACH IMMUNOLOGY CL in the “To Department” section and complete order
Urgent Referrals: Please call the ACH main switchboard at (403) 955-7211 and ask to page the immunologist on call.
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Immunology, type CGY ACH IMMUNOLOGY CL in the “To Department” section and complete order
Urgent Referrals: Please call the ACH main switchboard at (403) 955-7211 and ask to page the immunologist on call.
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.
 
PHONE
(403) 955-7155
REFERRAL PHONE
403-955-7155
REFERRAL FAX
403-955-7393
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
Angioedema
Clinical history of angioedema WITHOUT urticaria and/or family history of Hereditary Angioedema (HAE)
 
N/A

Combined immunodeficiency disease
History should include detailed information on infections, autoimmunity, and/or hematologic/oncologic disorders for patient and family members, when applicable. All relevant investigations that have already been performed should be included in the referral, if not available in Connect Care
 
N/A

Diffuse cutaneous mastocytosis
CBC with manual differential
 
Within 6 months

LFT - Liver function test
 
Within 6 months

Tryptase
 
Within 6 months
Only refer if patient experiencing systemic symptoms and/or if there is suspicion for systemic mastocytosis

Disorder of immune function
Suspicion of an immune dysregulation disorder (early onset, multi-system, unusual course, and/or refractory to treatment autoimmunity / autoinflammation/ malignancy). All relevant investigations should be included, unless available in Connect Care
 
N/A

Family history of disorder
Family history of inborn error(s) of immunity and suspicion of the same in the patient
 
N/A
Details on the exact inborn error of immunity within the family are always helpful.

Immunodeficiency
1) History of recurrent, unusual, severe, deep-seated, and/or difficult-to-treat infections; and/or 2) unexplained failure-to-thrive; and/or 3) family history of immunodeficiency; and/or 4) early onset, multi-system, unusual course, and/or refractory to treatment autoimmunity / autoinflammation/ malignancy.
 
N/A
Include all relevant investigations already performed, unless available in Connect Care

Infection
History of recurrent, unusual, severe, deep-seated, and/or difficult-to-treat infections.
 
N/A
Details on the specific infections and organisms are very helpful.

Lymphadenopathy
Persistent (over 6 months) and/or generalized lymphadenopathy when infectious and malignant causes have been excluded. Especially in the setting of other signs of lymphoproliferation (e.g. hepatomegaly, splenomegaly)
 
Within 6 months
Include all relevant investigations already performed, unless available in Connect Care
Urgent 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
Infection
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Active recurrent, unusual, severe, deep-seated, and/or difficult-to-treat infections.
 
N/A
Include all relevant investigations already performed, unless available in Connect Care
Emergent Reason for Referral
Additional Details
+-
SCID - Severe combined immunodeficiency
1) Positive newborn screening for SCID or 2) severe/unusual infections, chronic diarrhea, failure-to-thrive, persistent oral thrush, family history of SCID. or 3) Suspicion of Omenn syndrome in a neonate: erythroderma, lymphadenopathy, hepatosplenomegaly, eosinophilia, elevated IgE

Please call immunologist on-call to have a direct conversation. SCID is a pediatric emergency. 
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
Missed appointments are minimized by requiring a re-referral after two missed appointments. (ACH Outpatient Principle inPractice, 6.8)
Missed appointments are minimized by requiring a re-referral after two missed appointments. (ACH Outpatient Principle inPractice, 6.8)
 
HOURS OF OPERATION
Monday: 8:00 am - 4:15 pm
Tuesday: 8:00 am - 4:15 pm
Wednesday: 8:00 am - 4:15 pm
Thursday: 8:00 am - 4:15 pm
Friday: 8:00 am - 4:15 pm
Description:
Clinics operate 1 Tuesday a month and 2 Thursdays a month.
   
 
ADDRESS
Main Floor - Hematology/Oncology/Blood and Marrow Transplant Clinic
28 Oki Drive NW
Calgary Alberta
T3B 6A8
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.
  • 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.
 
DIRECTIONS
Located on the corner of 24 Avenue NW and West Campus Drive NW
Located on the corner of 24 Avenue NW and West Campus Drive NW
 
PHONE
(403) 955-7155
 
PARKING INSTRUCTIONS
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.
Paystations accept Canadian coins, Canadian bills or credit card (Visa, MasterCard, and American Express).
Parking Office and Kiosk accept payment by cash, credit card, debit or cheque.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.
Paystations accept Canadian coins, Canadian bills or credit card (Visa, MasterCard, and American Express).
Parking Office and Kiosk accept payment by cash, credit card, debit or cheque.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
Virtual appointment is available at the discretion of the physician.
Virtual appointment is available at the discretion of the physician.
 
 
WHEELCHAIR ACCESSIBILITY
Yes

This facility is wheelchair accessible and has an elevator on site


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