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eForms in development/beta testing

These eForms are not intended for general download and use. This area is for the uploading of test/development versions. When developers are happy with an eForm it will be moved to the general 'eForms for download' area.
Useful Code
Code that enhances the OSCAR user's experience. This started out as a collection of various types of files with code that could be inserted into new eforms to improve/enhance their performance. It has now expanded to include code that can be added to enhance the way OSCAR works in Firefox (Greasemonkey scripts), and other code/pdfs/forms that can be added on to OSCAR, or used by the office to improve work flow.
Two Page Letter with buttons.
A two page letter with buttons to fill some of the basic measurements etc. Possibly useful for consults or Medical Legal Letters.
Fifteen Page letter with Buttons
I was asked to make a 15 page letter with buttons for someone who does long Medical Legal letters. The first five pages have buttons to draw many of the parts of the demographic and measurements. There are also some buttons with canned text and a button to print out a CV. Uses the blank page as the image. JohnR
Ontario eforms for sorting
For review and potential posting by interested Ontario users.
Diagnostic Tools
From David Chan: (this) attachment is a tool to create diagnostic pathway for a number of conditions based on likelihood ratios (mostly from the JAMA Rational Clinical Examination series). You can unzip the file and run the file called conditionIndex.html. I am hoping to turn this into another App for MyDrugRef (soon to be renamed to Know2Act or K2A). Send me your feedback, or better still, add to the list of conditions!! Have fun with it. It's a great teaching tool for my EBM seminars. David David H Chan, MD, CCFP, MSc, FCFP Professor and Director of Information Technology Department of Family Medicine
MoCA 2014
Update September 2014 --- Not sure how the Oscar community will accept this info - but the “powers that be” at Center for Dx and Research on Alzheimer’s disease (CEDRA) who own the copyright to the MoCA dementia assessment tool, do not want any publication of an “autocalculating” version of that test - which basically means we cannot use an EMR-version, and are forced to use a paper version. As such, it becomes basically useless for us. Apparently they are developing their own “electronic” version of the tool, which is not likely to integrate with any EMR. I tried to point this out to the contact person, but I don’t think she understands that what I’ve developed is for “all” to share, even them! I would like to communicate directly with the physician lead, and he has been cc’d, but nothing so far. So - I think we’ll have to remove it from OCUS, and put in the statement from CEDRA, dated Aug27/14. Hello John, Unfortunately we do not authorize the development of programs that auto-calculate the MoCA© as we are developing such a tool. Kind regards, Kathleen Gallant, MSOT Occupational Therapist/Psychometrician On behalf of Dr Ziad Nasreddine, Neurologist, MoCA© Copyright Owner CEDRA: Center for Diagnosis and Research on Alzheimer's disease 4896 Taschereau Blvd, suite 250, Greenfield Park, J4V 2J2, Québec, Canada Tel: 450-672-1931 ext: 285 Fax: 450-672-1443 kathleen.gallant@cedra.ca www.mocatest.org www.cedra.ca MoCA form updated by John Yap --- adapted the push/pull/non-measurement features from EOL into the MoCA.
KARP Foot Care Referral Form 2017
Karp Foot Care Referral: Referral form for Karp Foot Care, in home service for seniors. This is the 2017 Update of the Karp Foot Care Referral Form - commissioned by Karp Home Care
KARP Home Care Referral 2017
Karp Home Care Services Referral: Referral form for Karp Homecare and nursing services. There are check box options for reason of referral and easy to fill boxes for doctor and patient information. This is the 2017 Update of the Karp Homecare Referral Form - commissioned by Karp Home Care.
BCCH Endocrine and Diabetes Referral
I was asked to make up this form for referral to the BCCH Enodcrinology and Diabetes clinic. It has a link to their web page and it will pull up labs and the growth chart eforms. JohnR.
Worksafe BC Nurse Practitioner Report 2017
I was asked to create the Worksafe report for Nurse Practitioners. Apparently Worksafe was not accepting the Physician report form if it was filled out by Nurse Practitioners. JohnR.
Change Pain May 2017
Update by JohnY May 2017 - updated 4-page eForm! Actually 3-pager, with page 4 as a reference to us. There are some key considerations - it’s really meant for Lower Mainland patients. There is a need for eMail address for the patient - as they will be requested to do some on-line questionnaires in preparation for their appointment. There are eligibility criteria - which need to be heeded. So the eForm has some pop-up alerts and a “check eligibility” feature built in. Comments welcome. ----- Update by JohnY: I did some tweaking, and put the html on a very gentle diet. I note that the form was adapted from a cytology/Pap form of some sort. There's a web link and additional info added. Zipped for your enjoyment! JohnY Original by JohnR: Chronic Pain management located in Vancouver on Cambie Street.
VIHA_Young Adult Collaborative Care 2017
Young adult Collaborative Care Vancouver Island Health 2017
Road Safety BC Fitness to Drive 2017
From John Yap: There’s an updated reporting form with supportive documentation and weblink as per DoBC posting.
True North Imaging Requisition GTA 2017
Provided by True North Imaging.
True North Imaging Requisition Kitchener 2017
Provided by True North Imaging
VIHA Hearing Services 2017
Referral for Vancouver Island Health Authority Hearing Services.
BCWH Ambulatory Care Clinics Referral Form 2017
Update commissioned by The Midwifery Group. Outpatient referral for the following Clinics: Anaesthesia, Nutrition, Hematology, Internal Medicine, Infectious Diseases.
Priority MRI 2017
Richmond BC Private MRI clinic referral eForm
Respiratory Homecare Solutions BC Interior, Lower Mainland, Vancouver Island
These forms have been commissioned by Respiratory Homecare Solutions.
TB Clinic Referral - for Fraser Health/Vancouver May 2017
Created by John Yap
Sunshiner referral - for Fraser NorthWest users May 2017
Sunshiner Frailty Network RN referral Created by John Yap
BCWH Ultrasound/Fetal Monitoring Intake form
Updated June 23-2017 - It has been modified to pull the patient name, DOB, phn, Address and phone number where the patient label would go. --- This form was commissioned by 8th Avenue Family and Maternity Care. This replaces the 2016 form.
VIHA Mental Health and Substance Use 2017
This is an update to the 2008 and 2011 versions.
Home Health Referral Chilliwack 2017
At the request of Chantal Chris I have modified the Home Health Referral for Chilliwack. The modifications include: 1) adding a check box for "prognosis less than 6 months", 2)Moving "other" down to accommodate this, 3) Adding (attached) to the end of the line that talks about the most form and the line that talks about the bc benefits form, 4) Adding a (non printing) reminder to attach those forms. I have added the Xbox code to the form to decrease the amount of code.

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