Chronic obstructive pulmonary disease
Emergency department referrals
If any of the following are present or suspected, refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
- Acute exacerbation not responding to outpatient therapy
- Acute respiratory failure
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
- COPD with chronic respiratory failure
- COPD with worsening right heart failure
Category 2
Appointment within 90 days is desirable
- Recurrent (>3 in 12 months) acute exacerbations or acute presentations to emergency
- Uncontrolled but stable symptoms on daily basis that limit ADLs / Class 4 dyspnoea
- Requiring assessment for oxygen therapy
- COPD with demonstrated severe airflow obstruction (FEV1 <40%)
Category 3
Appointment within 365 days is desirable
- Stable COPD for consideration for pulmonary rehabilitation or education (where community services are not available)
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
- Refer to HealthPathways for assessment and management information if available
Referral requirements
A referral may be rejected without the following information.
History and Examination
- Duration and severity of symptoms including impact on ADLs
- Current and previous treatment and efficacy
- Comorbidities
- Smoking / occupational history
Pathology and Test Results
- SaO2 or ABG (Essential if referral for Oxygen assessment)
Imaging and Reports
- Spirometry (if available)
- CXR and CT chest (within last 12 months)
Additional referral information (useful for processing the referral)
History and Examination
- History of childhood/adolescent lung disease
- Vaccination status
- Respiratory function tests
- Exercise oximetry
Pathology and Test Results
- SaO2 or ABG
- FBC, ELFT results
Out of catchment
Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.
- 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
Medical Objects ID: MQ40290004P
HealthLink EDI: qldmnhhs
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
Locations
Resources
Useful links
- Australian advance care directive
- Australia and New Zealand Guidelines for the management of COPD (COPD-X)
- COPD value pyramid
- Lung Foundation Australia COPD guidelines
- Lung Foundation Australia patient information and resources
- Modified Medical Research Council (mMRC) Dyspnoea Scale
- NICE guidelines on COPD