​​​​​​​​When public outpatient services are not routinely provided

Normal coeliac serology (regardless of HLA DQ2 or DQ8 typing).

Criteria to access public outpatient services

CategoryCriteria
Category 1
Recommended to be seen within 30 calendar days.
  • Suspected coeliac disease with any of the following:
    • tissue transglutaminase IgA (TTG IgA) > 10 x upper limit normal (ULN)
    • iron deficiency anaemia
    • faltering growth (weight loss of > 2 weight centiles).
Category 2
Recommended to be seen within 90 calendar days.
  • Suspected coeliac disease with tissue transglutaminase IgA (TTG IgA) 2-10 x ULN.
  • Suspected coeliac disease in the presence of IgA deficiency (< 0.2 g/L).
Category 3
Recommended to be seen within 365 calendar days.		Known coeliac disease for routine follow-up.

Information to include within a referral

Required

  • Reason for referral.
  • Details of the presenting condition including duration of symptoms and medical management to date.
  • Provisional diagnosis.
  • Patient health summary (such as relevant medical history, relevant investigations, current medications and dosages, immunisations, allergies and/or adverse reactions), including specifically:
    • ‘Blue Book’, growth charts or any recent growth measurements
    • weight loss (amount and timeframe)
    • tissue transglutaminase IgA (TTG IgA) on gluten-containing diet for > 6 weeks
    • total IgA.

Continue gluten-containing diet until initial review or withdraw gluten and advise patient that reintroduction of gluten may be required for further testing.

If available

  • Family history of coeliac disease and/or autoimmune disease.
  • Full blood count (FBC).
  • Iron studies.
  • Endomysial antibodies IgA.
  • If the patient identifies as Aboriginal and/or Torres Strait Islander.
  • If the patient is considered ‘at risk’ and/or among a vulnerable, disadvantaged or priority population.
  • If the patient is suitable for virtual care or telehealth.
  • If the patient has special needs or requires reasonable adjustments to be made.
  • If the patient requires an interpreter (if so, list preferred language).

Important information for referring health professionals

If there is a change to a patient’s condition while waiting for their appointment, referring health professionals may further investigate and manage the situation, or send an updated referral to the outpatient service. Where there are significant concerns about a patient's condition, referring health professionals may check HealthPathways for urgent/same day advice or contact the relevant clinical team.

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Current as at: Sunday 12 May 2024
Contact page owner: System Purchasing