Lipid Disorders

Does your patient wish to be referred?

Minimum referral criteria

Does your patient meet the minimum referral criteria?

Category 1

Appointment within 30 days is desirable

  • Total triglyceride > 20mmol/L in patient having had episode of pancreatitis in the previous 3 months (consider referring to Endocrinology if local services are available)

Category 2

Appointment within 90 days is desirable

  • Patients with prior ACS and:
    • LDL>5.0mmol/L; or
    • DLNC Score > 6 (ie likely heterozygous family history)

Category 3

Appointment within 365 days is desirable

  • Significantly raised LDL (>4 mmol/L) in high CVD risk patients
  • Difficult to control LDL (>3.3 mmol/L) In CHD patients with familial hypercholesterolemia
  • Severe mixed dyslipidemia (TC and TG totalling more than 10 mmol/L)

If your patient does not meet the minimum referral criteria

Consider other treatment pathways or an alternative diagnosis.

If you still need to refer your patient:

  • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Other important information for referring practitioners

Not an exhaustive list

  • Consider commencing statins depending on other cardiac risk factors
  • The Heart Foundation’s Lipid Management Guidelines provide some additional guidance for patient management
  • The QRISK®2 calculator is helpful in assessing cardiovascular disease risk
  • Patients with moderate hyperlipidaemia (total cholesterol 5 – 10mmol/L and/or triglycerides < 4mmol/L) may be referred to a general physician rather than a cardiologist depending on local services.
  • Refer to HealthPathways for assessment and management information if available

Referral requirements

A referral may be rejected without the following information.

  • Details of all treatments offered and efficacy
  • Relevant previous medical history and co-morbidities (especially cardiovascular disease)
  • BP
  • ELFTs, HbA1c, TSH,
  • Recent (within 3 months) fasting lipid results (cholesterol/ triglyceride/ HDL-cholesterol/ LDL-cholesterol)

Additional Referral Information (Useful for processing the referral)

  • Previous lipid results (serial if available)
  • CK results
  • Any imaging confirming presence of cardiovascular disease
  • Family history of hyperlipidaemia
  • Coronary artery calcium score
  • Smoking and alcohol history
  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander
  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary
  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Fax: 1300 364 952

Electronic: eReferral system

Mail: Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road
ASPLEY QLD 4034

Health pathways

Access to Health Pathways is free for clinicians in Metro North Brisbane.

For login details email:
healthpathways@brisbanenorthphn.org.au

Login to Brisbane North Health Pathways:
brisbanenorth.healthpathwayscommunity.org