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Systemic Therapy

Systemic Therapy is responsible for the development, implementation and evaluation of standards of systemic care for patients within BC Cancer's integrated services in all communities, regions, and BC Cancer sites and centres, throughout the province.

The BC Cancer Compassionate Access Program (CAP) (previously known as the Undesignated Drug Request Process) is now a secure online web-based system (designed to replace the current paper-based system) through which physicians across the province can submit requests, check the status of their requests, and receive notification via email about the outcome.

Tumour Group designates, as well as the Program Designate, can enter their information online. Dispensing hospital pharmacies across the province will also be able to view all requests online.

This system is maintained and updated by the CAP Office who can be contacted at More details on the application and review process can be found below under Policies & Procedures in III-45 Compassionate Access Program.


The Community Oncology Network Referral process (CONRef) is now a secure online web-based system designed to replace the current paper based system. Through this system, BC Cancer physicians will submit requests for transfer of care for chemotherapy treatments and medical care to one of the Community Oncology Network (CON) sites. CONRef allows for electronic transfer of patient information, referral details, relevant protocol and preprinted order from the BC Cancer physician to the CON site.


Referrals can be made by a BC Cancer physician to all Health Authority CON sites. For sites that do not have CAIS access, the requestor will identify the required patient specific documents which need to be attached to the referral (e.g. consultation notes, pathology, imaging, etc.) For referrals to CON sites with CAIS access there would be no need to attach any documents but the CON site will receive a referral notification with patient demographics, a clinical summary, and a suggested treatment course. The designated staff at that particular CON site receives an email notification of the referral. They then log into the web-based site and obtain all referral information and print off the necessary attachments or look up patient information on CAIS. Referring physicians will receive an email notification once the referral has been received by the CON site.


To log into the CONRef system, please follow the link at For questions or feedback, please email

  • The Provincial Systemic Therapy Program policy III-110 Community Oncology Network Referral can be found on the Shared Health Organizations Portal (SHOP) quick link

The Provincial Systemic Therapy Program policies have moved to the Shared Health Organizations Portal (SHOP), and a quick link has been created for easy access.

SHOP is the central access point for policies and decision support tools- such as guidelines, clinical procedures, protocols and standards. You can get started by using the keyword search bar and filter your results by program, site and document type. Or you can click the “Document Index” tab for a list of all BC Cancer documents on SHOP.
SOURCE: Systemic Therapy ( )
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