
This page provides answers to frequently asked questions about eReferrals for surgical, gastroenterology and diagnostic imaging services. The information below is intended to support understanding of the referral process and system use.
An electronic referral (eReferral) is sent digitally instead of on paper. In Nova Scotia, we use a system called Ocean, a trusted partner of Nova Scotia Health.
The use of eReferrals has been mandatory since April 1, 2024. Primary care providers, surgeons, and gastroenterologists are required to use eReferrals to send and receive referrals for surgical consults, gastroenterology services, and Diagnostic Imaging (DI) services available within the tool.
Available eReferral services include
Providers benefit from a more efficient, transparent, and coordinated referral process through Ocean eReferrals, including:
Please note: oFor all DI eReferrals, providers can see when a referral is accepted, pending and booked.
Surgical Central Intake: All referrals, even those directed to a specific provider, are centrally received through a Central Intake Office which serves as a single point of entry for referrals. The Central Intake Office will ensure referrals are reviewed for completeness and promptly routed to the appropriate surgical provider.
Diagnostic Imaging Central Intake: Diagnostic Imaging Central Intake helps coordinate non-urgent diagnostic imaging referrals across Nova Scotia through a standardized provincial process. By reviewing and validating referrals and supporting a complete digital view of imaging demand, Central Intake helps teams work together as one provincial system. This supports consistent workflows, strengthens waitlist management, balances demand across the province, and helps improve access to care.
Site-based teams continue to be responsible for:
Yes. When using the Ocean Healthmap, you can search the directory and select a specific surgeon, specialist or service to receive the referral. You may also choose to send the referral to a Central Intake Office, which can help route the referral based on patient preferences, clinical needs, and service availability.
For diagnostic imaging referrals, providers select the preferred imaging site on the diagnostic imaging form.
Patient information is stored securely by Nova Scotia Health and IWK Health, protected by provincial privacy laws, and only used to support your care. eReferrals use strong encryption, help prevent errors, and let you track updates to your referral.
You can access training and resource materials on the Training & Resources page. For general enquiries, technical support, and to notify us of leaves or closures, please use the Contact Us page