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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 MoCA form updated by John Yap --- adapted the push/pull/non-measurement features from EOL into the MoCA.
Maternal Fetal Medicine Fraser Health 2019
Updated Maternal Fetal Medicine Referral eForm as requested by the Surrey North Delta Division of Family Practice. The image for this form still dates back to 2012. The form I was given has been photoshopped to remove the 2 separate fax numbers and replaced with a single central fax referral line (which is the same as the old Jim Pattison OCSC fax number). As such, I have used HTML overlay to "edit" the original image. If you have previously uploaded this form, the image is unchanged and does not need to be uploaded (and won't be from the zip file). There were problems with the previous code and it would not zip and unzip properly. This has been solved, and other aspects of the code such as radio X boxes have been updated. JohnR.
Fraser Health VAPI Reporting Form
Now that severe pulmonary illness associated with Vaping has become a mandatory reporting issue, Fraser health has created a VAPI (vaping associated pulmonary illness) reporting form. I have converted this in to an eform. JohnR.
BCWH Fetal Diagnostics referral eForm 2017
Updated referral form for the BC Women's Hospital Fetal Diagnostics Services. It does a few extra things like remind you to fill required fields and it has a button to calculate the estimated gestational age.
Positive Health Services Referral Form
Created for the Surrey North Delta Division of Family Practice. For PHS patient referral to Jim Pattison Outpatient Care. There may be certain measurements that need to be added for full functionality - as per John Yap.
Pulse Cardiac Centre referral eForm
Created by Oscar BC for the Pulse Cardiac Centre. Description:Cardiology, Cardiac Diagnostics, Cardiac Rehabilitation. Key words :Cardiology, Cardiologist, Exercise stress test, Holter, ECG, Cardiac Rehabilitation, Cardiac Rehab
Coastal Sleep eForm BC 2019
Referral to Coastal Sleep for BC. Updated for 2019.
Description:Sleep Apnea testing requisition. Respirology report provided with Sleep Studies. Same-day testing. Provide CPAP and BPAP therapy with follow up care. Open 7 days a week. Key words: advanced sleep, sleep apnea referral, CPAP, med, coastal, BIPAP, APAP, respiratory, sleep, snore, oxygen, OSA, obstructive, RRT, independent, Patient sleep apnea referral, RT, breathing, west, snorecare, snore care, snorecare solutions, vital, snoring, coastal, respirology, Overnight Oximetry, sleep, well, Home Sleep Study,
Graduated Care Clinic Chilliwack 2019
Referral form for the Graduated Care Clinic in Chilliwack.
Chilliwack Obstetrics Group (COGs) referral 2019
2019-Nov-29 14:25 Added LNMP as a REQUIRED field. 2019-Oct-31 08:37 - Updated - there are now 4 buttons - connection to the Antenatal Record, to the Documents, to the Lab Row display (where you choose which labs you want from the left side menu) and the Lab Grid display, where all the labs are available to be printed. There have been some personnel changes in the COGs group and the form was in need of an update
Fraser Health Community Pediatric Audiology and Speech-Language Program Request for Services 2017
The form for referral to Audiology and Speech-Language has changed (by 1 digit in 1 phone number). I have updated it and updated the code. JohnR.
Mainland Sleep Clinic eForm 2019 Vernon Office
Created for Mainland Sleep Clinic by OSCAR BC. Updated for 2019 for the Vernon Office
Careica Health Referral eFrom 2019
Created by OSCAR BC for Careica Health. Sleep Apnea Referral eForm. Careica Health (former RANA Respiratory Care Group and Provincial Sleep Greoup) Contact Phone: 4317778234. Use to refer to Careica Health Sleep Clinics, Home Oxygen Service (MB,SK,AB only) and Pulmonary Function testing (Calgary/Airdrie AB oly). Sleep apnea testing, sleep apnea treatment, home oxygen service, PF tests, pulmonary function tests
Updated 2018 donepezil special authority form
Updated 2019-Nov-25 12:01 Cholinesterase inhibitors. Thanks to Dr. Robin Patyal
PHC Geriatric Clinic Referral eForm
Created by Dr. Patyal. An eForm for referral to the Providence Health Care - Elder Care Geriatric Outpatient Clinic. -- Updated 2019-Nov-23 Moved second page to the side - do not print - to save ink and paper Updated Code for X boxes Added Radio X boxes Converted 2 "other" inputs to 1 text area Photoshopped out boxes and some lines on image added span /span with text to clarify some inputs corrected DOB to conform with requested format Parsed Referring Physician Name Pre-Checked some boxes on initial opening Added some cosmetics
Special Authority Request PPI updated Nov 2019
Updated by Dr. Yap
BCWH Pelvic Pain Endometriosis Referral 2019
2 forms, one for specialists and one for primary care providers.
Victoria Vascular Surgery Referrals 2019
For non-urgent referrals for Vascular Surgery in Victoria
North Shore Gastroenterology Referral eForm 2019
For referral to the Gastroenterology group in North Vancouver

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