Home · Nephrology · Condition
Nephrology · Refer Your Patient
Proteinuria
Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Proteinuria.
CPC windows
Cat 1 · 30 days
appointment within 30 calendar days. - Nephrotic range proteinuria* (urine ACR > 220mg/mmol or PCR > 350g/mol) without concerning features (see below)
- Proteinuria (urine ACR 30-220 mg/mmol or PCR 60-350 g/mol) with a declining eGFR but without concerning features (see below)
Concerning features
- Significant peripheral oedema
- Signs of pulmonary oedema
- Severe hypertension
- Signs of DVT / PE
- Infection
- Acute kidney injury
*At the level of nephrotic range proteinuria, albumin accounts for 60-70% of total urinary protein. Within the CPC, ACR > 220mg/mmol OR PCR > 300mg/mmol has been used for simplicity and ease of application.
Note: If there is any uncertainty regarding the urgency of an acute referral, please contact your local Kidney Medicine clinician, as direct ward admission may be considered.
Cat 2 · 90 days
appointment within 90 calendar days. - Sub-nephrotic macroalbuminuria (urine ACR 25-220mg/mmol for men or urine ACR 35-350mg/mmol for women or PCR 60- 350mg/mmol) with a stable eGFR
Cat 3 · 365 days
appointment within 365 calendar days. - Asymptomatic microalbuminuria (urine ACR < 25mg/mmol for men or < 35mg/mmol for women OR PCR < 50mg/mmol) with other evidence of kidney disease (e.g. haematuria)
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, vascular disease or known chronic kidney disease
- Current medications, medication history and allergies
- Timeline of symptoms
- Examination findings including BP, peripheral oedema, signs of pulmonary oedema
- FBC, ELFT, urea, creatinine and eGFR results (include serial historical results, if available)
- Urine albumin creatinine ratio (ACR) or urine protein 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)
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