Ontario Lab eForm
Example Output
Example Screenshot of the form in use showing signature, fax and decision support The decision support looks for coded drugs prescribed Thyroxine Coumadin Aiodarone isoretoin Antipsychotics Diuretics Methotrexate Digoxin Lithium Phenytoin Valpoic Carbamazepine Theophyline It takes from the age gender and measurements for BP smoking status and cholesterol as available to estimate cardiac risk It looks for diabetics via meds such as Gliclalzide, Metformin, Insulin, Glyburide via free text history for Diabet|IDDM|DM|T2DM|T1DM|type 2 DM|type2 DM|type1 DM|type 1 DM|T2DM|T2 DM|DM2\ via A1C measurment > 0.065 It looks for CAD via meds such as nitroglycerine and clopidrogrel via free text history for ischemi|stent|coronary|CABG it looks for CHF via free text history for CHF|Congestive cardiac|heart failure|LVF|RVF|Systolic dysfunction|Diastolic dysfunction|pulmonary edema|pulmonary oedema|HF it looks for Hypertension via free text history for BP|Hypertension|Elevated BP|BP|HTN it looks for CKD via free text history for CKD|Chronic kidney disease|Renal failure|renal insufficiency|CRF via eGFR measurement of <45 it looks for Statins via meds like STATIN
Ontario Lab Form 2019
2019-Jun-23 10:24 - New Lab form Created by Peter HC
labDecisionSupport.js new for 2019
add this to the image folder
Ontario Lab Form 2019 html file
posted if there are difficulties with the zip file
Ontario Lab Form 2019 png file
posted in case there are problems with the zip file
Ontario Lab Form 2019 png file for signature
If you have your own signature file you can replace this file. The old file should be deleted out of the image folder and the new file should have the same name.
OntarioLab.html
The main form. Download and upload or just cut and paste into the eForm editor window
Ontario Lab Background
The lab req background. To be uploaded into images
labDecisionSupport.js
The decision support logic. Upload this to images
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