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Pharmacogenomic (PGx) Testing and Consult Service   at
Alberta Wide
Specialty: Genetics
Connect Care Department: AHS PROV RSH PHARMACOGENOMICS
Estimated time to routine appointment: Not Available
Provincial Health Services
SERVICE DESCRIPTION
Pharmacist-led service for pharmacogenetic (PGx) testing and consultation to eligible Albertans. The service will provide virtual patient appointments for PGx education and results interpretation for health care providers.Pharmacogenetic (PGx) testing offers an evidence-based precision medicine approach that uses genetic information to guide medication selection and dosing. Albertans aged 6 - 24 years old adjusting or starting a psychiatric medication with a PGx indication would be eligible for PGx testing and consultation service. The service will provide PGx testing and interpretation of results from an AHS Pharmacist to predict how a patient may process or respond to specific medication. Patients can book pre-test and post-test consultation with the pharmacist. A PGx report and consult note will be provided to referring physician when results available.
Pharmacist-led service for pharmacogenetic (PGx) testing and consultation to eligible Albertans. The service will provide virtual patient appointments for PGx education and results interpretation for health care providers.Pharmacogenetic (PGx) testing offers an evidence-based precision medicine approach that uses genetic information to guide medication selection and dosing. Albertans aged 6 - 24 years old adjusting or starting a psychiatric medication with a PGx indication would be eligible for PGx testing and consultation service. The service will provide PGx testing and interpretation of results from an AHS Pharmacist to predict how a patient may process or respond to specific medication. Patients can book pre-test and post-test consultation with the pharmacist. A PGx report and consult note will be provided to referring physician when results available.
ELIGIBILITY REQUIREMENTS
Patients must meet all of the following criteria:
Aged 6- 24 years old Located in Alberta with an Alberta Health Number, Initiating or changing a psychiatric medication with a PGx indication:

Antidepressants
  • Amitriptyline (Elavil®)
  • Amoxapine (Asendin®)
  • Citalopram (Celexa®)
  • Clomipramine (Anafranil®)
  • Desipramine (Norpramin®)
  • Doxepin (Silenor®)
  • Duloxetine (Cymbalta®)
  • Escitalopram (Cipralex®, Lexapro®)
  • Fluvoxamine (Luvox®)
  • Imipramine (Tofranil®)
  • Nortriptyline (Aventyl®)
  • Paroxetine (Paxil®)
  • Sertraline (Zoloft®)
  • Trimipramine (Surmontil®)
  • Venlafaxine (Effexor®)
  • Vortioxetine (Trintellix®)
Antipsychotics
  • Aripiprazole (Abilify®)
  • Brexpiprazole (Rexulti®)
  • Haloperidol (Haldol®)
  • Perphenazine (Trilafon®)
  • Pimozide (Orap®)
  • Quetiapine (Seroquel®)
  • Risperidone (Risperdal®)
  • Zuclopenthixol (Clopixol®)
Anticonvulsants / Mood Stabilizers
  • Brivaracetam (Brivlera®)
  • Carbamazepine (Tegretol®)
  • Fosphenytoin (Cerebryx®)
  • Lamotrigine (Lamictal®)
  • Oxcarbazepine (Trileptal®)
  • Phenytoin (Dilantin®)
ADHD Medications
  • Atomoxetine (Strattera®)
  • Viloxazine (Qelbree®)

Anxiolytics
  • Clobazam (Frisium®)
  • Diazepam (Valium®)
Patients must meet all of the following criteria:
Aged 6- 24 years old Located in Alberta with an Alberta Health Number, Initiating or changing a psychiatric medication with a PGx indication:

Antidepressants
  • Amitriptyline (Elavil®)
  • Amoxapine (Asendin®)
  • Citalopram (Celexa®)
  • Clomipramine (Anafranil®)
  • Desipramine (Norpramin®)
  • Doxepin (Silenor®)
  • Duloxetine (Cymbalta®)
  • Escitalopram (Cipralex®, Lexapro®)
  • Fluvoxamine (Luvox®)
  • Imipramine (Tofranil®)
  • Nortriptyline (Aventyl®)
  • Paroxetine (Paxil®)
  • Sertraline (Zoloft®)
  • Trimipramine (Surmontil®)
  • Venlafaxine (Effexor®)
  • Vortioxetine (Trintellix®)
Antipsychotics
  • Aripiprazole (Abilify®)
  • Brexpiprazole (Rexulti®)
  • Haloperidol (Haldol®)
  • Perphenazine (Trilafon®)
  • Pimozide (Orap®)
  • Quetiapine (Seroquel®)
  • Risperidone (Risperdal®)
  • Zuclopenthixol (Clopixol®)
Anticonvulsants / Mood Stabilizers
  • Brivaracetam (Brivlera®)
  • Carbamazepine (Tegretol®)
  • Fosphenytoin (Cerebryx®)
  • Lamotrigine (Lamictal®)
  • Oxcarbazepine (Trileptal®)
  • Phenytoin (Dilantin®)
ADHD Medications
  • Atomoxetine (Strattera®)
  • Viloxazine (Qelbree®)

Anxiolytics
  • Clobazam (Frisium®)
  • Diazepam (Valium®)
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 email it to PGXSpark@albertahealthservices.ca or fax it to the service using the contact information on this profile.
Complete the referral form and email it to PGXSpark@albertahealthservices.ca or 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 Genetics & Metabolics, type AHS PROV RSH PHARMACOGENOMICS in the “To Department” section and complete order.
In Comments box use SmartPhrase .PGXSPARKREFERRAL

All sections of SmartPhrase are required to process your request for testing.
Send an Internal Referral using the Ambulatory Referral Order to Genetics & Metabolics, type AHS PROV RSH PHARMACOGENOMICS in the “To Department” section and complete order.
In Comments box use SmartPhrase .PGXSPARKREFERRAL

All sections of SmartPhrase are required to process your request for testing.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 2 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 2 days.
  • Appointment outcome to referral source within 10 days.
 
REFERRAL PHONE
587-573-9747
REFERRAL FAX
587-701-5271
LINKED SPECIALISTS
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
Pharmacogenetic consultation
< 1 Month
Please see eligibility criteria above for medications being considered
 
Within 1 month
Pharmacogenetic Testing
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
Missed appointments will be rescheduled at the earliest available opportunity, subject to clinic capacity and operational requirements.

Patients who miss three (3) or more appointments may be discharged from the service and will require a new referral to access the program.
Missed appointments will be rescheduled at the earliest available opportunity, subject to clinic capacity and operational requirements.

Patients who miss three (3) or more appointments may be discharged from the service and will require a new referral to access the program.
 
HOURS OF OPERATION
Monday: 9:00 am - 5:00 pm
Tuesday: 9:00 am - 5:00 pm
Wednesday: 9:00 am - 5:00 pm
Thursday: 9:00 am - 5:00 pm
Friday: 9:00 am - 12:30 pm
Description:
Closed Saturday, Sunday and Statutory holidays.
   
 
ADDRESS

Alberta
T5K 2B6
PATIENT APPOINTMENT INSTRUCTIONS
To help ensure a successful virtual appointment, please:
  • Ensure that you are in a private, quiet, and comfortable location for your virtual appointment.
  • Review the educational video sent via email and complete the consent form and questionnaire before your first appointment.
To help ensure a successful virtual appointment, please:
  • Ensure that you are in a private, quiet, and comfortable location for your virtual appointment.
  • Review the educational video sent via email and complete the consent form and questionnaire before your first appointment.
 
DIRECTIONS
This service is provided entirely through virtual appointments. No in-person visits are required.
This service is provided entirely through virtual appointments. No in-person visits are required.
 
PHONE
587-573-9747
FAX
587-701-5271
VIRTUAL APPOINTMENT INFORMATION
This program is provided entirely virtually. All appointments will be conducted via phone or a secure virtual platform.
This program is provided entirely virtually. All appointments will be conducted via phone or a secure virtual platform.
 
PARKING MAP
There is no parking map available for this service.
There is no parking map available for this service.
 
WHEELCHAIR ACCESSIBILITY
N/A

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:
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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
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  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.
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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:
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  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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