Home · Nephrology · Condition
Nephrology · Refer Your Patient
Acute decline in kidney function
Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Acute decline in kidney function.
CPC windows
Cat 1 · 30 days
appointment within 30 calendar days. - Abrupt and significant decline in kidney function that does not require referral to emergency but where specialist review is required, for example
- Increase in serum creatinine by >26.5µmol/L known to have occurred in the last 48 hours OR creatinine increase 1.5-2-fold from baseline which has presumed to have occurred within the last 7 days
Cat 2 · 90 days
appointment within 90 calendar days. - No category 2 criteria
Cat 3 · 365 days
appointment within 365 calendar days. - No category 3 criteria
Essential referral information
Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.
- Presence of comorbid conditions such as hypertension, diabetes or vascular disease
- List of medications
- BP records (if available)
- Serial ELFTs including urea, creatinine and eGFR results
- FBC
- Urine albumin-to-creatinine ratio (ACR) or urine protein-to-creatinine ratio (PCR) (ideally early morning sample, but a random sample is acceptable)
- Urine midstream M/C/S (including testing for red cell morphology and casts preferable)
- Ultrasound (kidney, ureters & bladder) and any other available relevant imaging results
Out of scope / wrong door
There are currently no out of scope conditions for this service.
Parent service: Nephrology
Send outpatient referrals to
- Smart Referrals preferred (Best Practice or Medical Director)
- Medical Objects GQ42150009Z (lookup qh → QHEALTH, GOLD COAST HEALTH OUTPATIENT)
- HealthLink EDI Qldgchsd
- Fax (07) 5687 4497 — Booking and Referral Centre
- Post: Booking and Referral Centre, Gold Coast University Hospital, 1 Hospital Boulevard, Southport QLD 4215
- Clinic enquiries 1300 559 083
How to refer — full order
CPC category windows