Anaphylaxis Referral Access Criteria
Anaphylaxis Referral Access Criteria
Referrers should use this page when referring patients to public adult immunology outpatient services for anaphylaxis.
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| Emergency referral |
 If any of the following are present or suspected, refer the patient to the emergency department or seek emergency medical advice if in a remote region. |
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Current symptoms of anaphylaxis
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| Immediate referral |
 Immediately contact on-call registrar or service to arrange immediate immunology assessment (seen within 7 days):
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To contact the relevant service, please see Clinician Assist WA: Immunology Requests (external site).
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| Clinical indications for outpatient referral |
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
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Investigation of resolved case of anaphylaxis
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| Mandatory information |
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Referrals missing 'mandatory information' with no explanation provided may not be accepted by site. If 'mandatory information' is not included, the explanation must be provided in the body of the referral (e.g. patient unable to access test in regional or remote areas or due to financial reason).
This information is required to inform accurate and timely triage. If unable to attach reports, please include relevant information/findings in the body of the referral and advise where (provider) investigation/imaging was completed.
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| History |
- Relevant history, onset, duration, and severity of symptoms
- Relevant past medical history
- Current medication list
- History of allergen (food, drug, insect, other) if known
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| Examination |
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| Investigations |
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| Highly desirable |
| History |
- Advise if patient currently has EpiPen or not
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| Examination |
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| Investigations |
- Suspected allergen specific IgE
- Indicate in referral if IgE has been deferred due to anaphylaxis within 6 weeks
- Mast cell tryptase (e.g. serial measurements at 2 hours, 24 hours and repeat when well for baseline)
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| Indicative clinical urgency category |
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Category 1
Appointment within 30 days
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- Resolved case of anaphylaxis (e.g. unknown allergen, food, exercise)
- Insect venom desensitisation
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Category 2
Appointment within 90 days
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- Recent resolved anaphylaxis to an avoidable agent e.g. drug allergy
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Category 3
Appointment within 365 days
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- No defined category 3 criteria
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