Cystic Fibrosis
Diagnosis |
Cystic fibrosis
|
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Department |
Pulmonary Medicine; Pediatric Gastroenterology
|
1. Start the referral process:
Use your own referral form or notes* or download one of our forms:
2. Gather records:
For adult referrals, Pulmonary Medicine:
- Diagnosed with cystic fibrosis:
- Recent chart notes supporting the diagnosis
- CF genetic testing (if available)
- Sweat Chloride testing (if available)
- CF Smart Reports (if available)
- Nasal Potential Difference testing (if available)
- Bronchoscopy study (if available)
- Chest imaging - Chest X-ray (CXR) & Chest CT (if available)
- Echocardiogram (if available)
- Labs supporting the diagnosis
- Arterial blood gas (ABG) (last year) (if available)
- Lung biopsy report (if available)
- All pulmonary function test reports (if available)
- Pulmonary rehab reports (if available)
- Sleep study, sleep clinic notes, nocturnal oximetry (if available)
- Sputum study (sputum and bronchoalveolar lavage results including respiratory cultures and serologies) - lab studies (if available)
- Thoracic surgery report (if available)
- Allergist records & testing as noted above if the patient saw one for asthma or other pulmonary diseases.
- Lung ventilation and perfusion scan (V/Q scan) - radiologic study (if available)
- Right heart catheterization procedure report (if available)
- Lung pathology reports (if available)
- Bronchoscopy study (if available)
- Undiagnosed with Cystic Fibrosis - request for OHSU to diagnose:
- Recent chart notes supporting the diagnosis
- CF Genetic testing (if available)
- Sweat Chloride testing (if available)
- Bronchoscopy study (if available)
- Chest imaging - Chest X-ray (CXR) & Chest CT (if available)
- Echocardiogram (if available)
- Labs supporting the diagnosis
- Arterial blood gas (ABG) (last year) (if available)
- Lung biopsy report (if available)
- All pulmonary function test reports (if available)
- Pulmonary rehab reports (if available)
- Sleep study, sleep clinic notes, nocturnal oximetry (if available)
- Sputum study (sputum and bronchoalveolar lavage results including respiratory cultures and serologies) - lab studies (if available)
- Thoracic surgery report (if available)
- Allergist records & testing as noted above if the patient saw one for asthma or other pulmonary diseases.
- Lung ventilation and perfusion scan (V/Q scan) - radiologic study (if available)
- Right heart catheterization procedure report (if available)
- Lung pathology reports (if available)
- Bronchoscopy study (if available)
For Pediatric Gastroenterology:
- Growth chart
- Labs
- Imaging
3. Fax the referral and all records to 503-346-6854.
* Referral notes or forms should include:
- Patient name, date of birth, sex, address and phone number
- Referring provider’s name, address and phone number
- Diagnosis or reason for referral
- Department patient is being referred to
- Most recent chart notes supporting the diagnosis or reason for referral
For help or to arrange provider-to-provider advice, call 503-494-4567.
Date Revised | May 01, 2024 |
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