In this section
Dosing tables Measurement of vitamin D Pharmacies stocking high dose vitamin D Supplements photoboard
Medicare guidelines for vitamin D testingFrom 1 November 2014 - the Medicare item for 25 hydroxy vitamin D testing changed to item number 66883. Vitamin D testing only attracts a Medicare benefit if the patient meets one or more of the 11 criteria below. The RCH laboratory will not perform vitamin D testing unless the patient meets (any of) these criteria - now included on EPIC.Criteria(a) signs or symptoms of osteoporosis or osteomalacia(b) increased alkaline phosphatase and otherwise normal liver function tests(c) hyperparathyroidism, hypo or hypercalcaemia, or hypophosphataemia(d) malabsorption (e.g. cystic fibrosis, short bowel syndrome, inflammatory bowel disease or untreated coeliac disease, previous bariatric surgery)(e) deeply pigmented skin, or chronic and severe lack of sun exposure for cultural, medical, occupational or residential reasons(f) on medication that decreases 25OHD levels (e.g. anticonvulsants)(g) chronic renal failure or renal transplant recipient(h) less than 16 years of age and has signs or symptoms of rickets(i) infant whose mother has established vitamin D deficiency(j) exclusively breastfed baby and has at least one other risk factor mentioned in a paragraph in this item(k) sibling who is less than 16 years of age and has vitamin D deficiency
This guideline was developed for the RCH Immigrant health clinic, and is the basis for the RCH Clinical Practice Guidelines. This version contains additional detail, directed to clinicians providing care for refugee-background and migrant communities. The content is congruent with the 2013 Australian and New Zealand position statement on 'Vitamin D and health in pregnancy, infants, children and adolescents in Australia and New Zealand'.
Vitamin D is essential for bone and muscle health, and there is evidence it is important in other aspects of health.
Refugee-background communities may have multiple risk factors for low vitamin D e.g. dark skin, covering clothing and limited time outside.