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Fraser Health Mammography eForm 2017

Updated December 7th ----- It incorporates all the suggestions- thank you for these. ------- I looked at the Generic BC Mammogram form- has all the same fields but really badly laid out. So you should be able to adapt the code to this form if this is what you are using....but I would probably check first if they won't accept the FHA version? The main benefit is the field checking which hopefully reduces delays from rejections (something that the Xray department said was happening a lot). ----- From David Page: -------- Breast imaging requisition created through the Chilliwack Radiology Shared Care Project between the GPs and Radiologists and Radiology clerical staff ------ The form should be usable by everyone in Fraser Health but you may need to negotiate some of the short cuts: 1) No need for date of imaging if done in BCl- the staff pull up the latest imaging reqs anyway and dates are on them. Need to specify the grid the imaging was done on. 2) Can just specifiy “followup as per radiologist” as they have the previous mammo anyway 3) Can just specify “followup as per attached” if mammogram done out of BC and attach the req 4) No need for LMP just put “Premenopausal” ------ It has field checking to make sure form is complete and it pulls information across to the next time you open the imaging form in that patient like family history and biopsy history. ------- David
Fraser Health Mammography eForm 2017 zip file
FHA Breast Imaging - generic V2_Dec10_2017
This version has more FHA sites, with fax #; some additional colour, and adjusted subject line (removed from side-menu, to allow for save). Plus your old favourites - CopyTo, and Proper Name Order! The lower portion of the form made no sense, and has been "sense-itized". Wonder if the imaging departments will notice! JohnY
Fraser Health Mammography eForm 2017 png file
for identification purposes
FHA Breast Imaging: V5_Mar24_2020
Fix set default bug. Changes to MRP are sustained on reload.

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