Referral pathways Dr Kotha · Gold Coast GP

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Raised ESR

Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Raised ESR.

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Cat 1 · 30 days

appointment within 30 calendar day. Raised ESR with features stated below: - splenomegaly - symptomatic lymphadenopathy - raised LDH - bulky disease (>5 cm diameter of LN mass) - presence of fever, night sweats, weight loss or new onset pruritus - concurrent recent onset cytopenia (e.g. anaemia, thrombocytopenia) - extra nodal masses - clinical history of rapid growth

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.

- FBC - Serial ESR - E/LFTs - Serum light chains - Serum free light chains - Serum protein electrophoresis and B2 microglobulin - Immunoglobulins

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

HealthPathways

Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au

goldcoast.communityhealthpathways.org

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