eCASE (electronic Consultative Access to Specialist Expertise) is a novel strategy to enhance patient care, currently in the prototype phase. For traditional referrals, patients often wait months to see a specialist, however minor advice may be all that is needed. Conversations are mediated through a web-based platform, and GPs are able to attach clinical documents that may help specialists in making a recommendation. An educational interaction with knowledge transfer is encouraged when the specialist answers the call. In the spirit of “capacity building”, specialists are recruited for their interest in teaching and communication as well as their recognition as key opinion leaders. Patients may have their healthcare issue dealt with by their GP instead of needing to see a specialist. This will often render face-to-face consultation unnecessary.

eCASE Provides


    An opportunity to speak directly with specialists


    Timely guidance and advice


    Assistance with plan of care


    Learning opportunity


    Enhanced ability to manage the patient in your office


    Questions answered within 1 week and commonly within a few days

eCASE Does Not Provide


    Appointment booking


    Arranging transfer


    Arranging for laboratory or diagnostic investigations


    Informing the referring physician of results of diagnostic investigations


    Arranging a hospital bed

What is eCASE?


The Providence Health Care (PHC) Shared Care team that brought you RACE is now developing a complementary eConsultation service called eCASE (electronic Consultative Access to Specialist Expertise). This project is currently in the prototype phase, and is connecting PHC General Internal Medicine specialists with Family Physicians. We are using the “dr2dr” desktop and mobile platforms to improve communications between providers and simplify the patient journey. If you’re a GP in the Vancouver area, we want you to participate!


Login to dr2dr for eCASE:


Please contact Nico Miraftab at 604-682-2344 ext. 66522 or email to attain access to the dr2dr platform.


What is eConsultation?


eConsultation is a model of Shared Care where family physicians can securely ask a specialist a non-urgent question through a text-based system, attaching any clinical documents that may aid the specialist in making an informed recommendation (test results, images, patient history etc.). The specialist will respond within one week.



Downloadable Files:


See the attached FAQ document for more information



Watch our eCASE Videos here!





When to use eCASE


eCASE is intended for non-urgent patient-care questions. Aside from this requirement, we leave it up to you to determine if your concern can be effectively addressed through eCASE. For example, questions that require physical examination would not be appropriate. Some appropriate topics for eCASE may be:


  • • Questions on medication management: dosing, new therapies, drug interactions;
  • • Interpretation of images and test results: x-rays, ECGs, blood tests etc.;
  • • Reassurance of your existing care plan;
  • • Interim management options while waiting for a specialist consultation.


If you would like to sign up or have any additional questions or concerns, please contact Nico Miraftab at 604-682-2344 ext. 66522, or by email at

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