This decision tree is designed to assist you in determining the Date of Receipt of Referral. The Indication for Colonoscopy is a data classification for
submission to CCO, and not for the purposes of triaging patients. Please submit only the main Indication for Colonoscopy following this Indication Order.
Patient Entry Point
Indication Order
Date of Receipt of Referral
(Submit Main Indication in the following order)
In-Patient:
Date of Admission
Large bowel symptoms
May include: rectal bleeding, altered
bowel habits, or pain
A polyp was taken in a previous
colonoscopy
Patient has/had a 1st degree relative
with colorectal cancer.
CRC Screening Program Eligibility:
Screening to start when patient turns 50
or 10 years before the age of the 1st
degree relative when diagnosed with
colorectal cancer (which ever is first)
Patient had a positive FOBT result.
CRC Screening Program Eligibility:
Men and women age 50+ with Positive
FOBT
No other indication for a colonoscopy.
May include: Patient Initiation
1. Symptomatic (SA)
2. Surviellance (CN)
3. First Degree
Relative (FD)
Out-Patient:
Earlier of the Date the Referral was
received by the:
● Facility
● Specialist (Endoscopist/Surgeons)
Last Colonoscopy > 12 months:
More recent of:
● Date of receipt of referral (at either
Facility or Specialist)
● Date of last Colonoscopy
Last Colonoscopy < 12 months:
The date the second Colonoscopy is
scheduled
~ CRC Screening
Program ~
4. Positive
FOBT (PF)
~ CRC Screening
Program ~
5. Other Screening
(OS)
In-Patient:
Date of Admission
Out-Patient:
Earlier of the Date the Referral was
received by the:
● Facility
● Specialist (Endoscopist/Surgeons)