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E-consult specialist relay

PCP-to-specialist async referrals with structured Q&A and billing codes.

EC
eConsult·workspace · north-bay-ipa
8 consults · all specialties
ECON-44128awaitingSTAT · 4h SLA
Roman Castellanos · 63M
from Dr. Adeyemi → #nephrology
Ad
Dr. AdeyemiPCPApr 28 · 09:14
Specific clinical question
63yo M with new microscopic hematuria on routine UA. eGFR 71. No HTN, no proteinuria. When to refer to nephrology vs urology, and what additional workup before referral?
Pertinent history & meds
T2DM x8y on metformin. No NSAID use. No anticoagulation. No flank pain, no dysuria. Family hx: brother with bladder cancer at 58.
Recent labs / imaging
UA: 10-15 RBC/hpf, no casts, no proteinuria. Repeat 2w later: 8-12 RBC/hpf. CMP normal. Renal US not yet done.
UA_4-26-26.pdf UA_4-12-26.pdf
routed to #nephrology · responder auto-assigning…
Awaiting Nephrology responder · target SLA 4h
⌘↵ send · ⇧↵ newline · markdown supported

Telehealth · Network ops

E-consult turnaround & specialist load

Async-first specialty access — who's responding fast and which referrals were avoided.

Synthetic data

Specialty volume

Cardiology142
Nephrology98
Endocrine82
GI71
Derm64
Rheum41

Specialist responsiveness

  • Dr. Voss · Nephro9.4h
  • Dr. Park · Cards11.2h
  • Dr. Iyer · Endo14.8h
  • Dr. Brooks · GI18.1h
  • Dr. Mendoza · Derm8.6h

Connectors used

HIPAA Video & Messaging

required

Zoom for Healthcare / Doxy.me / Spruce

PHI-safe async chat between PCP and specialist

Health Records

required

Redox / Particle Health

Share chart context and write back the consult

e-Prescribing

optional

Photon / DoseSpot

Specialist-recommended prescriptions

Patient Scheduling

optional

NexHealth / Tebra

Book a follow-up if escalation is needed