Hepatitis B Virus
+ Emergency
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
Potentially life threatening symptoms suggestive of
- Acute severe GI bleeding
- Acute liver failure
- Sepsis in a patient with cirrhosis
- Severe encephalopathy in a patient with liver disease
+Useful management information
- HBV DNA quantitative (patient is eligible for one test per year under Medicare)
Medical management
- Screening and vaccination for Hepatitis A for patients
- Screening and vaccination for Hepatitis B of sexual contacts and immediate family members
- Natural history of disease, transmission risks and precautions,
- lifelong monitoring of disease if advanced fibrosis/cirrhosis, disclosure, treatment options
- Lifestyle modification (increased activity, dietary, weight, smoking, alcohol)
- Consider cessation of alcohol, hepatotoxic medication, herbal preparations, supplements, NSAIDs and benzodiazepines
NB: For urgent drainage for ascites collection, please contact the PAH Hepatology Fellow/Registrar on-call to discuss the case and arrange the appropriate management
+Minimum referral criteria
Does your patient meet the minimum referral criteria?
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Category 1 If you feel your patient meets Category 1 criteria, please mark “urgent” on your referral |
Presence of Red flags
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| Category 2 (appointment within 90 calendar days) |
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| Category 3 (appointment within 365 calendar days) |
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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
+Standard referral information To be included in all referrals
Patient's Demographic Details
- Full name (including aliases)
- Date and country of birth
- Residential and postal address including whether patient resides at an aged care facility
- Telephone contact number/s – home, mobile and alternative
- Medicare number (where eligible)
- Name of the parent or caregiver (if appropriate)
- Name of delegate and contact details (Department of Corrective Services)
- Preferred language and interpreter requirements
- Identifies as Aboriginal and/or Torres Strait Islander
- Any special needs, access requirements and/or disability relevant to the referral
Referring Practitioner Details
- Full name
- Full address
- Contact details – telephone, fax, email
- Provider number
- Date of referral
- Signature
- Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner
Relevant clinical information about the condition
- 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
- All conservative options that have been pursued unsuccessfully prior to referral
- Body mass index (BMI)
- Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes, BMI), noting these must be stable and controlled prior to referral
- Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
- Current medications and dosages
- Drug allergies
- Alcohol, tobacco and other drugs use
- A comprehensive capture of information in relation to MSH Referral Criteria
Reason for request
- 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
Clinical modifiers
- Impact on employment
- Impact on education
- Impact on home
- Impact on activities of daily living functioning – low/medium/high
- Impact on ability to care for others
- Impact on personal frailty or safety
- Identifies as Aboriginal and/or Torres Strait Islander
Other relevant information
- 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.)
Essential referral information for Hepatitis B Virus referrals
- Choice to be treated as a public or private patient
- Compensable status (e.g.
- ELFT, FBC results
- Alpha fetoprotein (AFP) results
- HBV, HCV serology results
- HBV DNA quantitative
- Upper abdominal USS reports
+ Additional referral information for Hepatitis B Virus referrals
- Medication history including non-prescription medications, herbs, supplements
- Record of previous liver function tests, imaging and/or Liver biopsy results
- HIV, HDV serology
Out of catchment
West Moreton Health is responsible for providing a public health service to people who reside within its catchment area. To appropriately manage demand for service we do not accept referrals from outside this catchment area. If your patient does live outside the West Moreton Health area and it is deemed socially or clinically necessary for their care to be received in the West Moreton Health Service, inclusion of information regarding their particular medical and/or social factors will assist with the triaging of your referral.
Feedback
To provide feedback about contents on this website or general referral questions please email WM-CPC@health.qld.gov.au or phone 3413 7402.
Last updated: Monday, August 13, 2018
