Useful Management Information

  • Chronic diarrhoea is diarrhoea present for more than 3 weeks
  • If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, you need to contact Child Safety Services

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • Infants under 1 year
  • Significant weight loss at any age
  • Vomiting during sleep
  • Bloody diarrhoea
  • Eating disorder suspected
Category 2 (appointment within 90 calendar days)
  • Most other referrals with chronic diarrhoea and/or vomiting
Category 3 (appointment within 365 calendar days)
  • No category 3 criteria

If your patient does not meet the minimum referral criteria

  • Assessment and management information may be found on a range of conditions at HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • 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

Essential Referral Information

  • Current height and weight and include date of measurement
  • History of diarrhoea – duration, frequency
  • Report presence or absence of concerning features for chronic diarrhoea:
    • Blood or mucus
    • Nocturnal waking to stool
    • Urgency and incontinence
    • Weight loss
  • Does the child have abdominal pain? If so, report presence or absence of concerning features for abdominal pain:
    • Recurrent waking from sleep with pain
    • Non midline pain
    • Weight loss
    • Fevers
    • Blood or mucus mixed in stool
    • Waking at night to stool
  • Stool PCR for bacteria and parasites (if chronic diarrhoea present)

Additional Referral Information

Highly desirable information – may change triage category

  • If abdominal pain is present, history including frequency, duration and level of disruption (school missed, Emergency presentations, other history of distress).
  • History of vomiting – duration, frequency, hematemesis
  • Height/weight/head circumference and growth charts with prior measurements if available.
  • Details of treatments offered and efficacy

Desirable information- will assist at consultation

  • Other past medical history
  • Immunisation history
  • Developmental history
  • Medication history
  • Significant psychosocial risk factors (especially parents mental health, family violence, housing and financial stress, department of child safety involvement)
  • Other physical examination findings inclusive of CNS, birth marks or dysmorphology
  • Any relevant laboratory results or medical imaging reports, urinalysis result

Investigations to consider if indicated (use clinical judgement)

  • FBC with differential. ESR U&E LFTs
  • Coeliac screen (aTTG) and total IgA level
  • Faecal calprotectin
Last updated 24 October 2021

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Paediatric Medicine (E-Blueslips)


(07) 5687 4497


Paediatric Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215


1300 744 284

Related HealthPathways

No directly related pathways found

Service Availability

Dr Susan Moloney


Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Child Safety

If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, contact Department of Children, Youth Justice and Multicultural Services . Please consider if mandatory reporting applies.

Gold Coast Health - For Clinicians
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