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Multiple myeloma
Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Multiple myeloma.
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Cat 1 · 30 days
appointment within 30 calendar days. - Presence of one is required:
- Abnormal serum protein electrophoresis
- Abnormal free light chains (FLC)
- Bence Jones protein in urine
- AND if ALL of the following present:
- Recent onset unexplained anaemia
- Lytic bone lesions
- Recent unexplained mild to moderate renal impairment
Cat 2 · 90 days
appointment within 90 calendar days. - Presence of one is required:
- Abnormal serum protein electrophoresis
- Abnormal free light chains (FLC)
- Bence Jones protein in urine
- AND if ALL of the following present:
- Well, asymptomatic patient
- Normal FBC and chemistry
- No history of bone pain or new unexplained back pain
Categorisation depends on subtype and amount of monoclonal protein.
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.
- Past medical history, current medications
- Previous cancer treatment details
- FBC, UEC, calcium
- Serum EPP
- Free Light Chains (FLC)
Out of scope / wrong door
Not all services are appropriate to be seen in the Queensland public health system. Exceptions can always be made where clinically indicated. It is proposed that the following are not routinely provided in a public Haematology service
The following are not routinely provided in a public Haematology service.
- Elevated ferritin with normal/low transferrin saturation unless specific concerns
- Simple folate, B12 deficiency
- Isolated lymphopenia without evidence of lymphoproliferative disorder
- Mild stable isolated cytopenia (Neutrophils >1.5, platelets >100, Hb>100) with unremarkable blood film
- Isolated raised ESR, CRP or microglobulin without evidence of lymphoproliferative disorder or myeloma
- Isolated red cell macrocytosis without cytopenia’s and otherwise unremarkable blood film
- Iron deficiency with Hb >100
Parent service: Haematology
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
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